Return to Athletic Activity After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis
- 1 April 2012
- journal article
- spine
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Pediatric Orthopaedics
- Vol. 32 (3), 259-265
- https://doi.org/10.1097/bpo.0b013e31824b285f
Abstract
Background: The cause of adolescent idiopathic scoliosis (AIS) is unknown and is currently believed to be multifactorial. AIS is a largely asymptomatic condition and many adolescents with AIS are involved with organized athletics and physical activity. To date, no data exist indicating predictors of return to physical activity after posterior spinal fusion for AIS. In this cohort study, adolescents who underwent posterior spinal fusion for AIS were evaluated to determine what clinical, surgical, and demographic variables predicted rate of return play in organized athletics. Methods: Forty-two athletically active adolescents who underwent posterior spinal fusion for AIS at a single tertiary care academic orthopaedic institution by a single surgeon were analyzed for clinical, surgical, and demographic predictors of return to presurgical activity levels. Data were collected by chart review, patient interview, and completion of postoperative SRS-22 outcomes score. Results: At an average of 5.5 years follow-up, 25 patients (59.5%) had returned to sports at an equal or higher level of physical activity. Three variables were independently associated with return to athletic activity postoperatively. The relationship between distal level of fusion and rate of return to play demonstrated a statistically significant stepwise decline from T11 to L4. Lenke classification and final SRS-22 score were also predictive of return to activity. No complications related to return to play were reported. Conclusions: In this retrospective cohort study, distal level of fusion, Lenke classification, and postoperative SRS-22 score were each independent predictors of rate of return to preoperative level of athletic activity after posterior spinal fusion for AIS. Level of Evidence: Prognostic Level II: retrospective Study.This publication has 19 references indexed in Scilit:
- Return to Play after Surgery of the Lumbar SpineOptometry and Vision Science, 2008
- Score Distribution of the Scoliosis Quality of Life Index Questionnaire in Different Subgroups of Patients With Adolescent Idiopathic ScoliosisSpine, 2007
- Measuring Outcomes in Spinal DeformityNeurosurgery Clinics of North America, 2007
- Minimum 10 years follow-up surgical results of adolescent idiopathic scoliosis patients treated with TSRH instrumentationEuropean Spine Journal, 2006
- Health-related quality of life in patients with adolescent idiopathic scoliosis after treatment: short-term effects after brace or surgical treatmentEuropean Spine Journal, 2006
- Refinement of the SRS-22 Health-Related Quality of Life Questionnaire Function DomainSpine, 2006
- ScoliosisClinical Orthopaedics and Related Research, 2006
- Outcome in adolescent idiopathic scoliosis after brace treatment and surgery assessed by means of the Scoliosis Research Society Instrument 24European Spine Journal, 2005
- Construction and Validation of the Scoliosis Quality of Life Index in Adolescent Idiopathic ScoliosisSpine, 2005
- Spinal Fusion in the AthleteClinics in Sports Medicine, 1993