When Do Patients Return to Physical Activities and Athletics After Scoliosis Surgery?

Sarwahi, Vishal; Wendolowski, Stephen; Gecelter, Rachel; Maguire, Kathleen; Gambassi, Melanie; Orlando, Dana; Lo, Yungtai; Amaral, Terry

doi:10.1097/brs.0000000000002284

Cited by 32 publications

(46 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

Section: Included Studiesmentioning

confidence: 99%

“…According to the search performed, a total of six studies [7][8][9][10][11][12] met the inclusion criteria and were included for review. Of these studies, one was a PCS [8] and five were RS [7,[9][10][11][12]. In addition to the analysis of the clinical documents, five [7,[9][10][11][12] of the authors of the included studies administered post-operative questionnaires to all their patients: Fabricant et al [7]used the SRS-22 [13]; Lonner et al [9] administered the SRS-22, the Activity Questionnaire for Adults and Adolescents (AQuAA) [14] and a personalized questionnaire; Sarwai et al chose a 24-questions survey in 2015 [11] and the Sport Activity Questionnaire (SAQ) in 2017 [12]; Perkins et al [10] used a non-validated telephone questionnaire.…”

Section: Included Studiesmentioning

confidence: 99%

“…Either posterior (Posterior Spinal Fusion, PSF) or combined (anterior plus posterior) approaches were performed; two studies [7,8] included only patients who received PSF, one study [9] included 36 patients who received PSF and 2 patients who received a combined approach. The others [10][11][12] did not report any data concerning surgical approach. None of the studies reported data concerning surgical technique (pedicle screws or hooks, high or low-density constructs).…”

Section: Type Of Surgerymentioning

confidence: 99%

“…Four [8,[10][11][12] of the included studies analysed the mean time until return to school: they all reported it to be between 10 and 12 weeks. Considering return to sport, the authors of all the included studies reported a time ranging between 6 months (50-60% of the patients [8,11,12]) and 18 months (> 90% of the patients [8,[10][11][12]); no statistically significant difference was reported between contact and non-contact activities. The percentage of patients who resumed sport with equal or greater performance (compared to preoperative condition) varied from 31.7% [12] to 80.6% [9].…”

Section: Return To School and To Physical Activitymentioning

confidence: 99%

“…Considering return to sport, the authors of all the included studies reported a time ranging between 6 months (50-60% of the patients [8,11,12]) and 18 months (> 90% of the patients [8,[10][11][12]); no statistically significant difference was reported between contact and non-contact activities. The percentage of patients who resumed sport with equal or greater performance (compared to preoperative condition) varied from 31.7% [12] to 80.6% [9]. However, between 28% [7] and 36.6% [10] of all patients changed sport, choosing lower impact activities.…”

Section: Return To School and To Physical Activitymentioning

confidence: 99%

See 4 more Smart Citations

Resumption of sport after spinal fusion for adolescent idiopathic scoliosis: a review of the current literature

et al. 2021

View full text Add to dashboard Cite

Background Adolescent idiopathic scoliosis (AIS) is a frequent disorder. Since patients with AIS are typically as active as age-matched controls and post-operative reduction in physical activity has detrimental effects on their well-being, return to sport (RTS) is an important perioperative concern. Aim of the present study is to review the literature concerning return to sport after spinal fusion for AIS. Methods This work was carried out in accordance with Preferential Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The search was carried out in December 2020. Only peer-reviewed randomized controlled trials (RCTs), retrospective studies (RS), retrospective case series (RCS) and perspective cohort studies (PCS) were considered for inclusion. Results Six studies were included; only one of them was prospective. All the authors reported a time to RTS ranging between 6 and 18 months. Between 28 and 36.6% of all patients changed sport, choosing lower impact activities, mostly due to loss of flexibility of the spine. No complications due to return to play were noted. Conclusion According to current evidence, patients who received spinal arthrodesis for AIS can safely return to any sport, even those that require extreme levels of spinal and pelvic movements such as gymnastics and golf. As there is little evidence, however, of the spinal loading that occurs during such movements, there is a lack of scientific evidence-based recommendations or guidelines surgeons and other health care providers can follow. Prospective comparative studies are needed to investigate these biomechanical and clinical issues. Level of evidence Level III.

show abstract

Section: Included Studiesmentioning

confidence: 99%

Section: Included Studiesmentioning

confidence: 99%

Section: Type Of Surgerymentioning

confidence: 99%

Section: Return To School and To Physical Activitymentioning

confidence: 99%

Section: Return To School and To Physical Activitymentioning

confidence: 99%

See 3 more Smart Citations

Resumption of sport after spinal fusion for adolescent idiopathic scoliosis: a review of the current literature

et al. 2021

View full text Add to dashboard Cite

show abstract

Return to sport and daily life activities after vertebral body tethering for AIS: analysis of the sport activity questionnaire

Baroncini

Trobisch²,

Berrer³

et al. 2021

Eur Spine J

View full text Add to dashboard Cite

Purpose Vertebral body tethering (VBT) is an alternative to fusion for selected scoliosis patients. As VBT does not limit spine mobility, it has been propagated that this technique allows a quicker return to physical activity than fusion. However, no data are available to support this statement. Aim of this study was to quantify how much time patients required to resume preoperative activity level and to seek possible associations between return to physical activity and demographic, radiographic and surgical data. Methods One year postoperatively, the validated sport activity questionnaire (SAQ) was administered to all skeletally immature patients who underwent VBT at our institution. SAQ data were analyzed and a multivariate analysis was conducted to investigate associations between SAQ and demographic, radiographic and surgical data. Results Thirty-one patients aged 14.5 years completed the SAQ. Within 3 months from VBT, 97% returned to school, 61% resumed physical education, 97% carried a backpack, 68% run, and 82% rode a bike; 70% bent within a month from VBT. Ninety-four percent of patients returned to their preoperative athletic level. Within 3 months, 63% of responders resumed noncontact, 61% contact and 53% collision sports. No relevant associations were observed between the SAQ and demographic, radiographic and surgical data. In particular, number of instrumented vertebrae, level of the lowest instrumented vertebra and postoperative Cobb angle did not influence patients’ return to preoperative activities. Conclusion VBT allows patients to quickly return to their preoperative activity level, irrespectively of the postoperative Cobb angle or type of instrumentation.

show abstract

Prospective 10-year follow-up assessment of spinal fusions for thoracic AIS: radiographic and clinical outcomes

et al. 2020

View full text Add to dashboard Cite

When Do Patients Return to Physical Activities and Athletics After Scoliosis Surgery?

Abstract: 3.

Cited by 32 publications

References 15 publications

Resumption of sport after spinal fusion for adolescent idiopathic scoliosis: a review of the current literature

Resumption of sport after spinal fusion for adolescent idiopathic scoliosis: a review of the current literature

Return to sport and daily life activities after vertebral body tethering for AIS: analysis of the sport activity questionnaire

Prospective 10-year follow-up assessment of spinal fusions for thoracic AIS: radiographic and clinical outcomes

Contact Info

Product

Resources

About