학술논문
Return to Sporting Activities Following Long Fusions to the Pelvis in Adult Spinal Deformity.
Document Type
Academic Journal
Author
Maayan O; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA; Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065, USA.; Zhang B; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.; Fourman MS; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA; Montefiore Einstein, 1250 Waters Pl, Tower 1, 11th Fl, Bronx, NY 10461, USA.; Clohisy J; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.; Pajak A; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.; Nakarai H; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.; Kazarian GS; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.; Du J; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.; Merrill R; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.; Kaidi A; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.; Knopp R; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.; Akosman I; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.; Samuel J; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.; Andrews L; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.; Shahi P; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.; Lovecchio FC; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.; Kim HJ; Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA. Electronic address: hanjokimmd@gmail.com.
Source
Publisher: Elsevier Science Inc Country of Publication: United States NLM ID: 101130732 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-1632 (Electronic) Linking ISSN: 15299430 NLM ISO Abbreviation: Spine J Subsets: MEDLINE
Subject
Language
English
Abstract
Background Context: Returning to recreational sporting activities after adult spinal deformity (ASD) correction may significantly impact the patient's perceived quality of life.
Purpose: This study sought to characterize participation in sporting activities before and after ASD surgery, and to identify factors associated with impaired return to sports.
Study Design: Cross-sectional survey and retrospective review of prospectively collected data.
Patient Sample: Patients who underwent posterior-only thoracolumbar ASD surgery between 2016-2021 with ≥1 year follow-up and ≥3 levels of fusion to the pelvis were included.
Outcome Measures: Preoperative and postoperative participation in sports, timing of return to these activities, and reasons for limited sports participation postoperatively were assessed.
Methods: A survey was used to evaluate outcome measures. Differences in demographic, surgical, and perioperative variables between patients who reported improved, unchanged, or worsened activity tolerance were evaluated.
Results: Ninety-five patients were included (mean age: 64.3±10.1 years; BMI: 27.3±6.1 kg/m2; median levels fused: 7). The survey was completed at an average of 43.5 ± 15.9 months after surgery. Sixty-eight (72%) patients participated in sports preoperatively. The most common sports were swimming (n=33, 34.7%), yoga (n=23, 24.2%), weightlifting (n=20, 21.1%), elliptical (n=19, 20.0%), and golf (n=11, 11.6%). Fifty-seven (83.8%) returned to at least one sport postoperatively, most commonly 6-12 months after surgery (45%). Elliptical had the highest rate of equal or improved participation (53%). Patients generally returned below their preoperative level to all other sports. Reasons for reduced sporting activities included physical limitation (51.4%), fear (20.0%), pain (17.1%), and surgeon advice (8.6%). There were no differences in the demographic, surgical, or perioperative characteristics between those who returned to sports at the same or better level compared with those who returned at a lower level.
Conclusions: 84% of patients successfully resumed sporting activities after undergoing fusion to the sacrum/pelvis for ASD. However, this return is typically at a lower level of participation than their preoperative participation, particularly in higher demand sports. Understanding trends in sporting activity may be valuable for counseling patients and setting expectations.
(Copyright © 2024. Published by Elsevier Inc.)
Purpose: This study sought to characterize participation in sporting activities before and after ASD surgery, and to identify factors associated with impaired return to sports.
Study Design: Cross-sectional survey and retrospective review of prospectively collected data.
Patient Sample: Patients who underwent posterior-only thoracolumbar ASD surgery between 2016-2021 with ≥1 year follow-up and ≥3 levels of fusion to the pelvis were included.
Outcome Measures: Preoperative and postoperative participation in sports, timing of return to these activities, and reasons for limited sports participation postoperatively were assessed.
Methods: A survey was used to evaluate outcome measures. Differences in demographic, surgical, and perioperative variables between patients who reported improved, unchanged, or worsened activity tolerance were evaluated.
Results: Ninety-five patients were included (mean age: 64.3±10.1 years; BMI: 27.3±6.1 kg/m2; median levels fused: 7). The survey was completed at an average of 43.5 ± 15.9 months after surgery. Sixty-eight (72%) patients participated in sports preoperatively. The most common sports were swimming (n=33, 34.7%), yoga (n=23, 24.2%), weightlifting (n=20, 21.1%), elliptical (n=19, 20.0%), and golf (n=11, 11.6%). Fifty-seven (83.8%) returned to at least one sport postoperatively, most commonly 6-12 months after surgery (45%). Elliptical had the highest rate of equal or improved participation (53%). Patients generally returned below their preoperative level to all other sports. Reasons for reduced sporting activities included physical limitation (51.4%), fear (20.0%), pain (17.1%), and surgeon advice (8.6%). There were no differences in the demographic, surgical, or perioperative characteristics between those who returned to sports at the same or better level compared with those who returned at a lower level.
Conclusions: 84% of patients successfully resumed sporting activities after undergoing fusion to the sacrum/pelvis for ASD. However, this return is typically at a lower level of participation than their preoperative participation, particularly in higher demand sports. Understanding trends in sporting activity may be valuable for counseling patients and setting expectations.
(Copyright © 2024. Published by Elsevier Inc.)