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The Journal of Bone & Joint Surgery British Volume
Vol. 85-B, Issue 2 | Pages - 308
1 Mar 2003
COLE AA BURWELL RG PRATT RK WEBB JK


The Journal of Bone & Joint Surgery British Volume
Vol. 85-B, Issue 2 | Pages 244 - 249
1 Mar 2003
Debnath UK Freeman BJC Gregory P de la Harpe D Kerslake RW Webb JK

We studied prospectively 22 young athletes who had undergone surgical treatment for lumbar spondylolysis. There were 15 men and seven women with a mean age of 20.2 years (15 to 34). Of these, 13 were professional footballers, four professional cricketers, three hockey players, one a tennis player and one a golfer. Preoperative assessment included plain radiography, single positron-emission CT, planar bone scanning and reverse-gantry CT. In all patients the Oswestry disability index (ODI) and in 19 the Short-Form 36 (SF-36) scores were determined preoperatively, and both were measured again after two years in all patients. Three patients had a Scott’s fusion and 19 a Buck’s fusion.

The mean duration of back pain before surgery was 9.4 months (6 to 36). The mean size of the defect as determined by CT was 3.5 mm (1 to 8) and the mean preoperative and postoperative ODIs were 39.5 (sd 8.7) and 10.7 (sd 12.9), respectively. The mean scores for the physical component of the SF-36 improved from 27.1 (sd 5.1) to 47.8 (sd 7.7). The mean scores for the mental health component of the SF-36 improved from 39.0 (sd 3.9) to 55.4 (sd 6.3) with p < 0.001. After rehabilitation for a mean of seven months (4 to 10) 18 patients (82%) returned to their previous sporting activity.


The Journal of Bone & Joint Surgery British Volume
Vol. 84-B, Issue 2 | Pages 305 - 306
1 Mar 2002
FREEMAN BJ OULLET JA WEBB JK


The Journal of Bone & Joint Surgery British Volume
Vol. 79-B, Issue 2 | Pages 204 - 205
1 Mar 1997
Boos N Khazim R Kerslake RW Webb JK Mehdian H

We describe an unusual injury to the upper cervical spine sustained during ejection from an aircraft. MRI provided an accurate and direct diagnosis of the severe ligamentous injuries.