While not commonly encountered in the general population, athletic trainers frequently see posterior column disorders, such as spondylolysis and spondylolisthesis, in athletic and active individuals due to repetitive spinal extension and rotational loads placed on the pars interarticularis while participating in sport. Athletic trainers can successfully evaluate posterior column disorders by performing a complete and comprehensive clinical examination to identify location of pain, test spinal stability, and find compensatory movement patterns. Conservative management typically leads to a successful outcome in this population with rest, bracing, and use of therapeutic exercise having the best supporting evidence. In this clinical concepts review, we outline the etiology and risk factors commonly associated with developing disorders of the posterior column. Additionally, we synthesize the literature for common evaluation techniques and interventions associated with the posterior column, and then provide a proposed rehabilitation progression to use in a younger, athletic population.

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