Spinal Deformities in the Adolescent Athlete

Bachmann, Keith R.

doi:10.1016/j.csm.2021.03.007

Clinics in Sports Medicine

2021

DOI: 10.1016/j.csm.2021.03.007

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Spinal Deformities in the Adolescent Athlete

Keith R. Bachmann

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Cited by 2 publications

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“…Adolescent idiopathic scoliosis (AIS) is a multifactorial musculoskeletal disorder that is typically defined as a coronal curve >10º. A total of 2% to 3% of adolescents are affected by AIS,1,2 however, many patients are asymptomatic and able to participate in athletics. Patients with AIS are more likely to undergo posterior spinal fusion (PSF) once the major curve progresses beyond 50º, and many of these athletic adolescents aim to return to sports (RTS) postoperatively.…”

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confidence: 99%

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

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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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mentioning

confidence: 99%

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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Analysis of the state of the musculoskeletal system in young people

Dolich¹,

Skvortsova²,

Komleva³

2022

Sanitary Doctor

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The increase in the incidence of the musculoskeletal system of non-infectious origin is one of the urgent problems, including for young people. Pronounced disorders of the musculoskeletal system structure are the harbingers of diseases related to this group. These disorders require timely detection and correction at the stage of preclinical appearance. The purpose of the study: to analyze structural disorders among the examined young people. A cross-sectional study was conducted to study the state of the musculoskeletal system in young people (111 people aged 15‑17 years). With the help of somatoscopy, the features of posture, the shape of the chest, the position of the shoulder girdle, shoulder blades, pelvis, and the shape of the feet were studied. With the help of computer stabilometry, postural stability in young people was studied. A high prevalence of functional and pathobiomechanical disorders of the musculoskeletal system among the participants of the study, non-optimal indicators of the statokinesiogram were established. The high prevalence of structural disorders of the musculoskeletal system is an extremely urgent problem for young people. It requires a comprehensive approach to its solution. In order to prevent the progress of degenerative-dystrophic processes at a more mature age, early detection and correction of disorders is necessary at the stage of childhood and adolescence, during which there is an active growth of musculoskeletal system structures. The results obtained substantiate the need to form risk groups at the stage of preclinical appearances of musculoskeletal disorders and diseases in order to develop and apply comprehensive personalized rehabilitation and preventive measures, which will preserve the health and working capacity of young people in the long term.

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Spinal Deformities in the Adolescent Athlete

Cited by 2 publications

References 37 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

Analysis of the state of the musculoskeletal system in young people

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