棒球选手之脊椎解离和脊椎滑脱症：五病例报告  

Spondylolysis and Spondylolisthesis in Baseball Athletes: Five Case Reports

作　　者：游鈞堯(Chun-Yao Yu) 張曉昀(Hsiao-Yun Chang) 林傳朝(Chuan-Chao Lin) 洪翊倫(Yi-Luen Hung) 蔡素如(Su-Ju Tsai) 

出　　处：《台灣復健醫學雜誌》

摘　　要：下背痛是年轻运动员常见的求诊原因之一，而脊椎解离和脊椎滑脱症，则是年轻运动员下背痛常见之诊断。其下背痛的临床表现，常在腰椎过度伸直时疼痛会加重，休息时会较缓解。遗传因素对脊椎解离和脊椎滑脱有部份影响；而某些特定的活动，会对腰椎产生反覆性过度伸张和旋转的力量负担，也会造成年轻运动员的脊椎解离和脊椎滑脱。 於2005年12月至2009年3月，共有五位棒球选手因爲下背痛至本院求诊，其中二位诊断爲第一级脊椎滑脱、二位爲双侧脊椎解离而无滑脱、及一位爲单侧脊椎解离。此五位选手，皆接受保守治疗，包括药物和物理治疗，其症状皆获得缓解，且皆能重返运动场。回顾文献少有类似的案例报告，本五病例的诊断及治疗过程可供临床照顾之参考。Low back pain is one of the commonest complaints of young athletes who visit the physical medicine and rehabilitation outpatient department. Spondylolysis and spondylolisthesis are frequent causes of low back pain in young athletes. The pain in these conditions is exacerbated by lumbar extension and relieved by rest. Although genetic predisposition plays an important role in the development of pars defect, certain activities involving lumbar hyperextension and rotation movements result in spondylolysis and spondylolisthesis. From December 2005 to March 2009, there were five baseball athletes who visited our outpatient department because of low back pain. The diagnosis was grade I spondylolisthesis in two patients, bilateral spondylolysis in two patients, and unilateral spondylolysis in one patient. The five patients received conservative treatment including rest, oral medication, and physical therapy. All of the patients obtained obvious symptomatic relief and returned to playing.

关 键 词：脊椎解離 脊椎滑脫 棒球 復健