{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T09:02:23Z","timestamp":1791795743705,"version":"4.3.4"},"reference-count":46,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"12","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:sec><jats:title>Study Design<\/jats:title><jats:p> Retrospective review with telephone follow-up. <\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p> Acute spondylolytic injuries have a dramatic impact on the young athlete. Excellent short-term clinical outcomes have been observed, but not enough is known about long-term clinical outcomes. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p> (1) To report long-term clinical outcomes for patients diagnosed with acute spondylolysis, and (2) to assess the prognostic ability of retrospective variables for long-term outcomes. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Patients from 2010 through 2013 were retrospectively reviewed to identify patients and to obtain demographic, baseline, and short-term outcomes. Long-term follow-up data were collected by telephone from patients diagnosed with acute spondylolysis to assess recurrence rate of low back pain, perceived outcome, pain, and functional ability. Patients were categorized as having a good or poor long-term outcome based on these measures. Logistic regression analysis was performed to assess the prognostic ability of the retrospective variables for long-term outcomes 3.4 years (range, 1.5\u20135.6 years) after treatment. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> One hundred twenty-one (71.6%) patients completed the follow-up questionnaire (48 female; mean age at baseline, 14.4 years). At follow-up, 81 (66.9%) patients were able to maintain their same or a higher level of sport. Recurrence of significant symptoms was reported by 55 (45.5%) patients, with 41 (33.9%) requiring medical treatment. The final logistic regression model revealed that female sex, adverse reaction during care, and multilevel injury were significant predictors of poor long-term outcome (R<jats:sup>2<\/jats:sup> = 0.22). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> Although excellent short-term outcomes were noted, 42% of patients reported a poor outcome at long-term follow-up. Female sex, multilevel injury, and experiencing an adverse reaction during care were significant predictors of poor long-term clinical outcome for patients diagnosed with acute spondylolysis. <\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p> Prognosis, level 4. Registered January 15, 2015 at www.clinicaltrials.gov (NCT02332200). J Orthop Sports Phys Ther 2016;46(12):1029\u20131036. Epub 8 Nov 2016. doi:10.2519\/jospt.2016.7028 <\/jats:p><\/jats:sec>","DOI":"10.2519\/jospt.2016.7028","type":"journal-article","created":{"date-parts":[[2016,11,9]],"date-time":"2016-11-09T04:46:43Z","timestamp":1478666803000},"page":"1029-1036","update-policy":"https:\/\/doi.org\/10.2519\/jospt.crossmarkpolicy","source":"Crossref","is-referenced-by-count":27,"title":["Long-Term Clinical Outcomes and Factors That Predict Poor Prognosis in Athletes After a Diagnosis of Acute Spondylolysis: A Retrospective Review With Telephone Follow-up"],"prefix":"10.2519","volume":"46","author":[{"given":"Mitchell","family":"Selhorst","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasia","family":"Fischer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristine","family":"Graft","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reno","family":"Ravindran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Peters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Rodenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"MacDonald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1394","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.153.3.6494460"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200001000-00007"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1097\/00006416-198901000-00011"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-199510000-00004"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000061992.98108.A0"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-199306050-00007"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199610150-00004"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-13-14"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000260978.10073.90"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2012.42.4.A1"},{"key":"bib11","first-page":"16","volume":"8","author":"Deyo RA","year":"2015","journal-title":"Int J Ther Massage Bodywork"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e318249a3ce"},{"key":"bib13","doi-asserted-by":"crossref","first-page":"653","DOI":"10.3928\/0147-7447-20020601-15","volume":"25","author":"d'Hemecourt PA","year":"2002","journal-title":"Orthopedics"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1177\/1941738113519958"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.1097\/01.jsm.0000186681.13416.0c"},{"key":"bib16","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e318296da7e"},{"key":"bib17","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505275645"},{"key":"bib18","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466050-00008"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B2.14339"},{"key":"bib20","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1759-9"},{"key":"bib21","first-page":"E379","volume":"44","author":"Gum JL","year":"2015","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"bib22","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000199958.04073.d9"},{"key":"bib23","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2010.10.002"},{"key":"bib24","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v1.i1.26"},{"key":"bib25","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.2004.00379.x"},{"key":"bib26","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181977fc5"},{"key":"bib27","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0b013e31803dcddd"},{"key":"bib28","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2013.10.032"},{"key":"bib29","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000282"},{"key":"bib30","first-page":"62","volume":"6","author":"McCleary MD","year":"2007","journal-title":"Curr Sports Med Rep."},{"key":"bib31","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1995.02170130017004"},{"key":"bib32","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503262194"},{"key":"bib33","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.77B4.7615609"},{"key":"bib34","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199509000-00009"},{"key":"bib35","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2015.08.015"},{"key":"bib36","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20070401-03"},{"key":"bib37","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2015.04.007"},{"key":"bib38","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B2.21256"},{"key":"bib39","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/16.3.223"},{"key":"bib40","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.72B5.2211782"},{"key":"bib41","doi-asserted-by":"publisher","DOI":"10.11613\/BM.2014.003"},{"key":"bib42","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200203000-00009"},{"key":"bib43","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198512000-00013"},{"key":"bib44","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000657"},{"key":"bib45","doi-asserted-by":"publisher","DOI":"10.1007\/s005860100326"},{"key":"bib46","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000209308.19642.96"}],"container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jospt.org\/doi\/pdf\/10.2519\/jospt.2016.7028","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T13:55:02Z","timestamp":1724680502000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jospt.org\/doi\/10.2519\/jospt.2016.7028"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12]]},"references-count":46,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2016,12]]}},"alternative-id":["10.2519\/jospt.2016.7028"],"URL":"https:\/\/doi.org\/10.2519\/jospt.2016.7028","relation":{},"ISSN":["0190-6011","1938-1344"],"issn-type":[{"value":"0190-6011","type":"print"},{"value":"1938-1344","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12]]},"assertion":[{"value":"2016-11-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}