Adolescent athletes return to sports rapidly after posterior spine fusion for idiopathic scoliosis: a prospective cohort study

Tetreault, Tyler; Darland, Hannah; Vu, Angela; Carry, Patrick M.; Garg, Sumeet

doi:10.1007/s43390-022-00592-8

Cited by 6 publications

(10 citation statements)

References 17 publications

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“…It is reasonable to think that as LIV becomes more distal and spine motion decreases, return to play will also decrease. However, this finding has not been corroborated in more recent prospective studies, which have shown that LIV is not predictive of return to sport, and that patients with a more distal LIV can return to sport at high rates that are not significantly different than those with a more proximal LIV ( 22 , 24 ). Various other factors have been proposed as more predictive of rates of return to play.…”

Section: Recovery Of Sports Performancementioning

confidence: 71%

“…An ability to return to their pre-fusion chosen sport is a primary concern for athletes prior to spinal fusion. There is a high probability for return to sports participation at the same level of competition (such as JV, varsity, or club level), with reported rates of return to sport that vary from 59.5% to 96.2% (17)(18)(19)(20)(21)(22). While most patients can compete at similar levels and within the same sport, it is important to note that some athletes may choose to switch sports.…”

Section: Recovery Of Sports Performancementioning

confidence: 99%

“…While there remains no consensus on when to allow patients to return to activity, the pendulum continues to swing. Now, some surgeons release patients to all activities as early as 4–8 weeks after surgery ( 22 ). The use of all pedicle screw constructs, decreased surgical time, and low rate of complications with early return to sport are likely the driving factors in these decisions, though there is still no agreement on when to allow return to activity and return to play protocols vary by surgeon.…”

Section: Timing To Return To Playmentioning

confidence: 99%

“…When release to activity after surgery is earlier, return to sport occurs more quickly. Early return to sport protocols may allow patients to return to all activities as tolerated immediately, or starting at 4–8 weeks after surgery ( 20 , 22 ). At three months, 25–52.6% of patients have returned to their presurgical level of play.…”

Section: Timing To Return To Playmentioning

confidence: 99%

“…With this protocol, sport type is the primary predictor of timing of return to activity. The median return to play for non-contact athletes occurred at 2.2 months vs. 4.7 months for contact athletes ( 22 ). No surgical risk factors, including LIV, correlated with a delayed return to sport, though patients reported that back pain and flexibility were the primary barriers in achieving their preoperative level of play.…”

Section: Timing To Return To Playmentioning

confidence: 99%

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Return to play following spine surgery

Tetreault

Garg

2023

Front. Pediatr.

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Return to physical activity is a primary concern for adolescents with idiopathic scoliosis who are indicated for spinal fusion surgery. Preoperative counseling often addresses questions regarding ability to return to sport, postoperative restrictions, time away from play, and the safety of returning to activities. Previous works have shown that flexibility can noticeably decrease after surgery, and that the ability to return to the same level of play may be impacted by the levels of the spine included in the fusion. Equipoise remains on when patients should be allowed to return to non-contact, contact, and collision play; however, there is a trend toward earlier release to activities over the last few decades. Sources agree, though, that returning to play is safe, with rare instances of complications reported for patients with spinal fusion. Here, we review the literature on the function of spinal fusion levels on flexibility and biomechanics, address factors that may influence one's recovery of sports performance, and discuss safety considerations regarding return play following spine surgery.

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Section: Recovery Of Sports Performancementioning

confidence: 71%

Section: Recovery Of Sports Performancementioning

confidence: 99%

Section: Timing To Return To Playmentioning

confidence: 99%

Section: Timing To Return To Playmentioning

confidence: 99%

Section: Timing To Return To Playmentioning

confidence: 99%

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Return to play following spine surgery

Tetreault

Garg

2023

Front. Pediatr.

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Comment on “Adolescent athletes return to sports rapidly after posterior spine fusion for idiopathic scoliosis: a prospective cohort study”

2023

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Activity and sports resumption after long segment fusions to the pelvis for adult spinal deformity: survey results of AO Spine members

et al. 2023

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Purpose To assess recommendations for when adult spinal deformity (ASD) patients may return to athletic activities after surgery. Methods A web-based survey was administered to members of AO Spine. The survey consisted of surgeon demographic information and questions asking when a patient undergoing a long thoracolumbar fusion (> 5 levels) with pelvic fixation for ASD would be allowed to resume unrestricted range of motion (ROM), non-contact sports, and contact sports postoperatively. Ordinal logistic regression was used to determine predictors for time to resume each activity. Results One hundred twenty four members’ responses were included for analysis. The majority of respondents would allow unrestricted ROM within 3 months postop (< 3 months: 81% vs > 3 months: 19%]. For when to return to non-contact sports, the most common responses were “2–3 months” (26.6%), “3–4 months” (26.6%), and “6–12 months” (18.5%). For when to return to contact sports, the majority advised > 4 months postop [> 4 months: “4–6 months” (19.2%), “6–12 months” (28.0%), “ > 12 months” (28.8%) versus < 4 months: “1–2 months” (4.0%), “2–3 months” (1.6%), “3–4 months” (8.8%)]. 8.8% responded they would “never” allow resumption of contact sports. Conclusion There was significant variation between surgeons’ recommendations for resumption of unrestricted range of motion and sports following long fusion with pelvic fixation for ASD. An evidence-based approach to activity recommendations will require information on outcomes and complications.

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Adolescent athletes return to sports rapidly after posterior spine fusion for idiopathic scoliosis: a prospective cohort study

Cited by 6 publications

References 17 publications

Return to play following spine surgery

Return to play following spine surgery

Comment on “Adolescent athletes return to sports rapidly after posterior spine fusion for idiopathic scoliosis: a prospective cohort study”

Activity and sports resumption after long segment fusions to the pelvis for adult spinal deformity: survey results of AO Spine members

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