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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| Format: | Article |
| Language: | English |
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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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| _version_ | 1832087264919814144 |
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| author | Tahir Khaleeq Ibrahim Jaly Matthew Lea Devi Prakash Tokala Neil Davidson Jayesh Trivedi Sudarshan Munigangaiah |
| author_facet | Tahir Khaleeq Ibrahim Jaly Matthew Lea Devi Prakash Tokala Neil Davidson Jayesh Trivedi Sudarshan Munigangaiah |
| author_sort | Tahir Khaleeq |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-c8d3afbf9ce4455da2572e47bf259a93 |
| institution | Kabale University |
| issn | 0974-8237 0976-9285 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Craniovertebral Junction and Spine |
| spelling | doaj-art-c8d3afbf9ce4455da2572e47bf259a932025-02-06T06:11:06ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82370976-92852024-12-0115441942610.4103/jcvjs.jcvjs_123_24Return to sports activities following posterior scoliosis correction and instrumented fusion for adolescent idiopathic scoliosis and its correlation to Lenke classificationTahir KhaleeqIbrahim JalyMatthew LeaDevi Prakash TokalaNeil DavidsonJayesh TrivediSudarshan MunigangaiahIntroduction: 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.https://journals.lww.com/10.4103/jcvjs.jcvjs_123_24adolescent idiopathic scoliosislenke classificationposterior scoliosis correctionreturn to sports |
| spellingShingle | Tahir Khaleeq Ibrahim Jaly Matthew Lea Devi Prakash Tokala Neil Davidson Jayesh Trivedi Sudarshan Munigangaiah Return to sports activities following posterior scoliosis correction and instrumented fusion for adolescent idiopathic scoliosis and its correlation to Lenke classification Journal of Craniovertebral Junction and Spine adolescent idiopathic scoliosis lenke classification posterior scoliosis correction return to sports |
| title | Return to sports activities following posterior scoliosis correction and instrumented fusion for adolescent idiopathic scoliosis and its correlation to Lenke classification |
| title_full | Return to sports activities following posterior scoliosis correction and instrumented fusion for adolescent idiopathic scoliosis and its correlation to Lenke classification |
| title_fullStr | Return to sports activities following posterior scoliosis correction and instrumented fusion for adolescent idiopathic scoliosis and its correlation to Lenke classification |
| title_full_unstemmed | Return to sports activities following posterior scoliosis correction and instrumented fusion for adolescent idiopathic scoliosis and its correlation to Lenke classification |
| title_short | Return to sports activities following posterior scoliosis correction and instrumented fusion for adolescent idiopathic scoliosis and its correlation to Lenke classification |
| title_sort | return to sports activities following posterior scoliosis correction and instrumented fusion for adolescent idiopathic scoliosis and its correlation to lenke classification |
| topic | adolescent idiopathic scoliosis lenke classification posterior scoliosis correction return to sports |
| url | https://journals.lww.com/10.4103/jcvjs.jcvjs_123_24 |
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