Return to sports activities following posterior scoliosis correction and instrumented fusion for adolescent idiopathic scoliosis and its correlation to Lenke classification
Introduction: There is a paucity of information or guidelines regarding return to sports activities after posterior scoliosis surgery for adolescent idiopathic scoliosis (AIS). Research Question: Review the rate of return to sports and correlation to Lenke type following surgery for AIS in a tertiar...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Craniovertebral Junction and Spine |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jcvjs.jcvjs_123_24 |
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| Summary: | Introduction:
There is a paucity of information or guidelines regarding return to sports activities after posterior scoliosis surgery for adolescent idiopathic scoliosis (AIS).
Research Question:
Review the rate of return to sports and correlation to Lenke type following surgery for AIS in a tertiary center for pediatric spinal deformity.
Materials and Methods:
Ninety patients were identified to have undergone surgery for AIS from 2016 to 2017 and were sent a return to sport questionnaire. Sixty-six responses were received and analyzed. For comparison, Lenke classification was divided into Subgroup 1 (Lenke type 1 and 2), Subgroup 2 (Lenke type 3 and 4), and Subgroup 3 (Lenke type 5 and 6).
Results:
The average age at the time of surgery was 14.81 (11–18) years. There were Lenke 1 (31), Lenke 2 (7), Lenke 3 (12), Lenke 4 (8), Lenke 5 (7), and Lenke 6 (1). The average number of levels fused was 10.27 (7–16). 89.3% of patients returned to school between 1 and 3 months. 19.6% of patients returned to physical education (PE) within 7–12 months, while 31.8% returned to running within 4–6 months. 7.5% of patients did not do PE and 18.2% never ran after surgery. 63.6% of patients returned to contact sports after surgery, majority within 7–12 months. 91% of patients felt that they were able to achieve their preoperative performance level. Comparing the subgroups, 92% of Subgroup 1 returned to school within 2 months, while majority of them returned to PE and running within 6 months. 60% of them returned to the same level of contact/noncontact sports level prior to surgery and 40% within 6 months. Patients in Subgroup 2 and 3 returned later to school. Patients in Subgroup 2 and 3 returned later to school, PE and running with less patients returning to contact/noncontact sports.
Conclusion:
This study was able to identify Lenke classification as an important predictor of patients returning to school, PE, and running earlier along with return to preoperative levels of contact/noncontact sports. |
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| ISSN: | 0974-8237 0976-9285 |