Getting Them Back in the Game: When Can Athletes With Adolescent Idiopathic Scoliosis Safely Return to Sports? A Mixed-effects Study of the Pediatric Orthopaedic Association of North America

Ho, Dedi; Du, Jerry Y.; Erkilinç, Mehmet; Glotzbecker, Michael P.; Mistovich, R. Justin

doi:10.1097/bpo.0000000000001902

Cited by 4 publications

(5 citation statements)

References 7 publications

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“…Previous survey studies have highlighted the concern many surgeons have with allowing patients to return to certain sports, particularly collision sports, after PSF. 7,8,11,12 Sarwahi et al 6 found that 83.3% of their participants returned to collision sports. In the present study, all participants who played collision sports preoperatively were cleared for full-contact sports postoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…Previous survey studies have highlighted the concern many surgeons have with allowing patients to return to certain sports, particularly collision sports, after PSF 7,8,11,12. Sarwahi et al 6 found that 83.3% of their participants returned to collision sports.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6][7] However, more recent studies have found that RTS varies by sport and distal level of fusion. Ho et al 8 stratified sports based on physical demand and found that less physically demanding sports (noncontact) were associated with earlier RTS (average: 4.6 mo) than more physically demanding sports (contact, average: 6.8 mo). Two retrospective studies found that distal fusion level was a predictor of the rate of return to the preoperative level of athletic activity.…”

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confidence: 99%

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High Rates of Successful Return to Competitive Athletics After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis Regardless of Distal Fusion Level

Fabricant

Pascual-Leone

Gross

et al. 2023

Spine

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Study Design. Prospective cohort. Objective. To determine if distal spinal fusion level is associated with postoperative sport participation after posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS). Summary of Background Data. The concept of “saving a level” during PSF for AIS refers to minimizing the distal extent of lumbar fusion to theoretically allow for increased postoperative spinal mobility and a more predictable return to athletic activity, as well as minimizing the risk of degenerative disc disease. There are few prospective studies evaluating the correlation between distal fusion level and timing of return to sports. Materials and Methods. Adolescent patients undergoing PSF for AIS between 2009 and 2019 were approached at their presurgical visit to participate in this prospective study. Participants were followed for a minimum of 2 years after surgery. Sports participation (classified by sport type and level of competitiveness) and radiographic data were collected at the initial visit. At each postoperative visit, it was noted whether patients returned to the same sport type and level of competitiveness. Results. After an a priori power calculation was performed, a total of 106 participants were included in the analysis with a mean age of 14 ± 2 years. Distal fusion levels ranged from T11 to L4. There was no significant association between distal fusion level and return to the same level of sports participation (P = 0.192). Of the participants, 93% returned to sports with no significant differences by distal fusion level (P = 0.081). Distal fusion level demonstrated no difference in return to preoperative sport (P = 0.486) or return to the same type of sport (P = 0.247). Conclusions. This study found no association between distal fusion level and postoperative sports participation. Even though many patients may elect to change sports, nearly all patients returned to sports, and the majority of patients returned to the same level of sports competition or higher after PSF for AIS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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High Rates of Successful Return to Competitive Athletics After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis Regardless of Distal Fusion Level

Fabricant

Pascual-Leone

Gross

et al. 2023

Spine

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“…The survey was distributed to the POSNA membership, but the 6.5% response rate is significantly lower than the 42% average response rate for a POSNA survey 27. There has been a trend toward declining survey response rates from the POSNA membership in recent years,27 with recent publications reporting response rates between 9.7% and 21.3% 28–31. In addition, surgeons who opted to respond to the survey may have increased interest in parental leave policies due to personal positive or negative experiences.…”

Section: Discussionmentioning

confidence: 99%

“…27 There has been a trend toward declining survey response rates from the POSNA membership in recent years, 27 with recent publications reporting response rates between 9.7% and 21.3%. [28][29][30][31] In addition, surgeons who opted to respond to the survey may have increased interest in parental leave policies due to personal positive or negative experiences. Thus, responses are likely skewed to represent the perceptions of these respondents and may not accurately represent the attitudes of most pediatric orthopaedic surgeons.…”

Section: Limitationsmentioning

confidence: 99%

Policies, Practices, and Attitudes Related to Parental Leave for Practicing Pediatric Orthopaedic Surgeons

Legister

Morgan

Samora

et al. 2023

Journal of Pediatric Orthopaedics

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Background: Parental leave impacts family engagement, bonding, stress, and happiness. Because parental leave benefits are important to all surgeons regardless of sex, understanding parental leave practices in pediatric orthopaedic surgery is critical to promote equity within the profession and supporting balance in work and family life. The aim of this study was to survey pediatric orthopaedic surgeons about their knowledge of parental leave policies, attitudes towards parental leave, and their individual experiences taking leave. Methods: A 34-question anonymous survey was distributed to the Pediatric Orthopaedic Society of North America membership. Eligible respondents were attending pediatric orthopaedic surgeons practicing in the United States or Canada. The survey gathered information about employer parental leave policies, perceptions about and experiences with parental leave while practicing as a surgeon, and demographic information about respondents. Results: A total of 77 responses were completed and used for analysis. Most respondents were men (59.7%), <50 years old (67.5%), married (90.9%), and in urban communities (75.3%). A large majority were practicing in the United States (97.4%). Most respondents were unfamiliar with employer parental leave policies (maternity: 53.3%; paternity: 67.5%; and adoption: 85.7%). Those familiar with policies reported that employers offered 7 to 12 weeks for maternity leave (45.7%) and <1 week for paternity leave (50%) and adoption leave (45.5%). Most respondents believed 7 to 12 weeks should be offered for maternity leave (66.2%), 1 to 6 weeks for paternity leave (54.6%), and 7 to 12 weeks for adoption leave (46.8%). Many respondents reported taking 1 to 6 weeks of parental leave as a surgeon (53.3%) and that their colleagues were supportive of their parental leave (40.3%). Conclusions: Most pediatric orthopaedic surgeons were unfamiliar with parental leave benefits provided by employers. Respondents who were familiar with these policies believed that more parental leave should be provided, especially for men who may feel social pressure to take less time for leave. Although respondents reported that their work environments were supportive, this study identified opportunities for improvement to support surgeons who wish to balance parental experiences with work responsibilities. Level of Evidence: Level V.

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The Clinical Significance of the Lowest Instrumented Vertebra in Adolescent Idiopathic Scoliosis

Yang,

Yaszay,

Bauer

2024

J Am Acad Orthop Surg

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Getting Them Back in the Game: When Can Athletes With Adolescent Idiopathic Scoliosis Safely Return to Sports? A Mixed-effects Study of the Pediatric Orthopaedic Association of North America

Cited by 4 publications

References 7 publications

High Rates of Successful Return to Competitive Athletics After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis Regardless of Distal Fusion Level

High Rates of Successful Return to Competitive Athletics After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis Regardless of Distal Fusion Level

Policies, Practices, and Attitudes Related to Parental Leave for Practicing Pediatric Orthopaedic Surgeons

The Clinical Significance of the Lowest Instrumented Vertebra in Adolescent Idiopathic Scoliosis

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