A Multivariate Analysis of Radiographic Healing in Pediatric Athletes Diagnosed With Spondylolysis

Background: Spondylolysis is commonly seen in adolescent athletes with lumbar pain after acute or repetitive low back hyperextension. Nonoperative management and rest often lead to symptom resolution and return to sport in acute injuries. However, follow-up imaging confirming radiographic healing is rarely utilized. Purpose/Hypothesis: The purpose of this study was to investigate the relationship between age, sex, and radiographic healing in pediatric athletic patients with spondylolysis after nonoperative treatment. It was hypothesized that younger athletes would have better healing rates as older patients are closer to the end of bony growth. Study Design: Case series; Level of evidence, 4. Methods: A retrospective review was conducted of adolescent cases of spondylolysis treated by a single physician between September 1, 2022, and May 1, 2024. Patients included were