Epidemiology of Lumbar Spine Conditions in Professional Baseball Players.
Journal
Clinical spine surgery
ISSN: 2380-0194
Titre abrégé: Clin Spine Surg
Pays: United States
ID NLM: 101675083
Informations de publication
Date de publication:
01 08 2023
01 08 2023
Historique:
received:
02
06
2022
accepted:
25
01
2023
medline:
27
7
2023
pubmed:
4
3
2023
entrez:
3
3
2023
Statut:
ppublish
Résumé
A retrospective case series study. To analyze the epidemiology and burden of diagnoses of lumbar spinal conditions affecting Major League Baseball (MLB) and Minor League Baseball players. Lumbar spinal conditions are a common cause of low back pain in the general population and can be caused by participation in sports and athletics. Data concerning the epidemiology of these injuries in professional baseball players are limited. We collected deidentified MLB and Minor League Baseball data concerning lumbar spine conditions (lumbar disk herniations, lumbar degenerative disease, or pars conditions) from 2011 to 2017 using the MLB-commissioned Health and Injury Tracking System database. Data concerning days missed because of injury, need for surgery, and player participation and career-ending status were assessed. Injury rates were reported as injuries per 1000 athlete exposures in concordance with prior studies. Over 2011-2017, 5948 days of play were missed because of 206 lumbar spine-related injuries, of which 60 (29.1%) were season ending. Twenty-seven (13.1%) of these injuries required surgery. The most common injury among both pitchers and position players were lumbar disk herniations (45, 44.1% and 41, 39.4%, respectively). More surgeries were performed for lumbar disk herniations and degenerative disk disease compared with pars conditions (74% and 18.5% vs. 3.7%). Injury rates for pitchers was significantly higher than those of other position players 0.111 per 1000 AEs versus 0.040 per 1000 AEs ( P <0.0001). Injuries requiring surgery did not vary significantly by league, age group, or player position. Lumbar spine-related injuries incurred substantial disability and days missed from play in professional baseball players. Lumbar disk herniations were the most common injury, and together with pars conditions led to higher rates of surgery compared with degenerative conditions. III.
Sections du résumé
STUDY DESIGN
A retrospective case series study.
OBJECTIVE
To analyze the epidemiology and burden of diagnoses of lumbar spinal conditions affecting Major League Baseball (MLB) and Minor League Baseball players.
SUMMARY OF BACKGROUND DATA
Lumbar spinal conditions are a common cause of low back pain in the general population and can be caused by participation in sports and athletics. Data concerning the epidemiology of these injuries in professional baseball players are limited.
METHODS
We collected deidentified MLB and Minor League Baseball data concerning lumbar spine conditions (lumbar disk herniations, lumbar degenerative disease, or pars conditions) from 2011 to 2017 using the MLB-commissioned Health and Injury Tracking System database. Data concerning days missed because of injury, need for surgery, and player participation and career-ending status were assessed. Injury rates were reported as injuries per 1000 athlete exposures in concordance with prior studies.
RESULTS
Over 2011-2017, 5948 days of play were missed because of 206 lumbar spine-related injuries, of which 60 (29.1%) were season ending. Twenty-seven (13.1%) of these injuries required surgery. The most common injury among both pitchers and position players were lumbar disk herniations (45, 44.1% and 41, 39.4%, respectively). More surgeries were performed for lumbar disk herniations and degenerative disk disease compared with pars conditions (74% and 18.5% vs. 3.7%). Injury rates for pitchers was significantly higher than those of other position players 0.111 per 1000 AEs versus 0.040 per 1000 AEs ( P <0.0001). Injuries requiring surgery did not vary significantly by league, age group, or player position.
CONCLUSIONS
Lumbar spine-related injuries incurred substantial disability and days missed from play in professional baseball players. Lumbar disk herniations were the most common injury, and together with pars conditions led to higher rates of surgery compared with degenerative conditions.
LEVEL OF EVIDENCE
III.
Identifiants
pubmed: 36867724
doi: 10.1097/BSD.0000000000001453
pii: 01933606-990000000-00135
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E283-E287Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
Références
Hurwitz EL, Randhawa K, Yu H, et al. The Global Spine Care Initiative: a summary of the global burden of low back and neck pain studies. Eur Spine J. 2018;27(Suppl 6):796–801.
Camp CL, Conti MS, Sgroi T, et al. Epidemiology, treatment, and prevention of lumbar spine injuries in Major League Baseball players. Am J Orthop (Belle Mead NJ). 2016;45:137–143.
Hangai M, Kaneoka K, Hinotsu S, et al. Lumbar intervertebral disk degeneration in athletes. Am J Sports Med. 2009;37:149–155.
Huang P, Anissipour A, McGee W, et al. Return-to-play recommendations after cervical, thoracic, and lumbar spine injuries: a comprehensive review. Sports Health. 2016;8:19–25.
Camp CL, Dines JS, van der List JP, et al. Summative report on time out of play for Major and Minor League Baseball: an analysis of 49,955 injuries from 2011 through 2016. Am J Sports Med. 2018;46:1721–1732.
Dahm DL, Curriero FC, Camp CL, et al. Epidemiology and impact of knee injuries in Major and Minor League Baseball players. Am J Orthop (Belle Mead NJ). 2016;45:E54–E62.
Green GA, Pollack KM, D’Angelo J, et al. Mild traumatic brain injury in Major and Minor League Baseball players. Am J Sports Med. 2015;43:1118–1126.
Ahmad CS, Dick RW, Snell E, et al. Major and Minor League Baseball hamstring injuries: epidemiologic findings from the Major League Baseball injury surveillance system. Am J Sports Med. 2014;42:1464–1470.
Ciccotti MG, Pollack KM, Ciccotti MC, et al. Elbow injuries in professional baseball: epidemiological findings from the Major League Baseball injury surveillance system. Am J Sports Med. 2017;45:2319–2328.
Pollack KM, D’Angelo J, Green G, et al. Developing and implementing major league baseball’s health and injury tracking system. Am J Epidemiol. 2016;183:490–496.
Camp CL, Conte S, Cohen SB, et al. Epidemiology and impact of abdominal oblique injuries in major and minor league baseball. Orthop J Sport Med. 2017;5:1–8.
Camp CL, Curriero FC, Pollack KM, et al. The epidemiology and effect of sliding injuries in Major and Minor League Baseball players. Am J Sports Med. 2017;45:2372–2378.
Posner M, Cameron KL, Wolf JM, et al. Epidemiology of major league baseball injuries. Am J Sports Med. 2011;39:1676–1680.
Team RCR: a language and environment for statistical computing. R Foundation for Statistical Computing .
Wasser JG, Zaremski JL, Herman DC, et al. Prevalence and proposed mechanisms of chronic low back pain in baseball: part i. Res Sports Med. 2018;25:219–230.
Conte SA, Thompson MM, Marks MA, et al. Abdominal muscle strains in professional baseball: 1991-2010. Am J Sports Med. 2012;40:650–656.
Selhorst M, Fischer A, MacDonald J. Prevalence of spondylolysis in symptomatic adolescent athletes: an assessment of sport risk in nonelite athletes. Clin J Sport Med. 2019;27:296–301.
Sakai T, Sairyo K, Suzue N, et al. Incidence and etiology of lumbar spondylolysis: review of the literature. J Orthop Sci. 2010;15:281–288.
Bono CM. Low-back pain in athletes. J Bone Joint Surg Am. 2004;86-A:382–396.
Soler T, Calderón C, Calderon C. The prevalence of spondylolysis in the Spanish elite athlete. Am J Sports Med. 2000;28:57–62.
Jackson D, Wiltse L, Cirincoine R. Spondylolysis in the female gymnast. Clin Orthop Relat Res. 1976;68–73.
Micheli LJ, Wood R. Back pain in young athletes significant differences from adults in causes and patterns. Arch Pediatr Adolesc Med. 1995;149:15–18.
Yurube T, Kakutani K, Okamoto K, et al. Lumbar spondylolysis: a report of four cases from two generations of a family. J Orthop Surg (Hong Kong). 2017;25:1–5.
Makhni MC, Curriero FC, Yeung CM, et al. Epidemiology of spine-related neurologic injuries in professional baseball players. Spine (Phila Pa 1976). 2022;47:E265–E271.