Departments of1Neurological Surgery and.
2Surgical Outcomes Center for Kids, Monroe Carell Jr. Children's Hospital at Vanderbilt University; and.
Neurosurg Focus. 2021 Apr;50(4):E15. doi: 10.3171/2021.1.FOCUS20970.
Craniosynostosis (CS) affects about 1 in 2500 infants and is predominantly treated by surgical intervention in infancy. Later in childhood, many of these children wish to participate in sports. However, the safety of participation is largely anecdotal and based on surgeon experience. The objective of this survey study was to describe sport participation and sport-related head injury in CS patients.
A 16-question survey related to child/parent demographics, CS surgery history, sport history, and sport-induced head injury history was made available to patients/parents in the United States through a series of synostosis organization listservs, as well as synostosis-focused Facebook groups, between October 2019 and June 2020. Sports were categorized based on the American Academy of Pediatrics groupings. Pearson's chi-square test, Fisher's exact test, and the independent-samples t-test were used in the analysis.
Overall, 187 CS patients were described as 63% male, 89% White, and 88% non-Hispanic, and 89% underwent surgery at 1 year or younger. The majority (74%) had participated in sports starting at an average age of 5 years (SD 2.2). Of those participating in sports, contact/collision sport participation was most common (77%), and 71% participated in multiple sports. Those that played sports were less frequently Hispanic (2.2% vs 22.9%, p < 0.001) and more frequently had undergone a second surgery (44% vs 25%, p = 0.021). Only 9 of 139 (6.5%) sport-participating CS patients suffered head injuries; 6 (67%) were concussions and the remaining 3 were nondescript but did not mention any surgical needs.
In this nationwide survey of postsurgical CS patients and parents, sport participation was exceedingly common, with contact sports being the most common sport category. Few head injuries (mostly concussions) were reported as related to sport participation. Although this is a selective sample of CS patients, the initial data suggest that sport participation, even in contact sports, and typically beginning a few years after CS correction, is safe and commonplace.
颅缝早闭（CS）影响约每 2500 名婴儿中的 1 名，主要通过婴儿期的手术干预进行治疗。在儿童后期，许多此类儿童希望参加运动。然而，参与运动的安全性主要是轶事性的，并且基于外科医生的经验。本研究的目的是描述 CS 患者的运动参与情况和与运动相关的头部损伤。
通过一系列颅缝早闭组织的邮件列表，以及颅缝早闭为重点的 Facebook 群组，于 2019 年 10 月至 2020 年 6 月，向美国的患者/家长提供了一份与儿童/家长人口统计学，CS 手术史，运动史和运动引起的头部损伤史相关的 16 个问题的调查。根据美国儿科学会的分组，对运动进行了分类。在分析中使用了 Pearson's 卡方检验，Fisher 确切检验和独立样本 t 检验。
总体而言，187 名 CS 患者的描述为男性占 63％，白人占 89％，非西班牙裔占 88％，89％的患者在 1 岁或以下接受了手术。大多数患者（74％）在平均年龄为 5 岁（SD 2.2）时开始参加运动。在参加运动的人群中，最常见的是接触/碰撞运动（77％），有 71％的患者参加了多种运动。参加运动的患者中西班牙裔的比例较低（2.2％比 22.9％，p <0.001），而接受第二次手术的比例较高（44％比 25％，p = 0.021）。在 139 名参加运动的 CS 患者中，只有 9 名（6.5％）遭受了头部损伤；6 名（67％）是脑震荡，其余 3 名是非描述性的，但未提及任何手术需求。
在这项针对术后 CS 患者及其父母的全国性调查中，运动参与非常普遍，接触运动是最常见的运动类别。仅报告了少数（9 例，6.5％）与运动相关的头部受伤，其中大多数（6 例）为脑震荡，其余 3 例则未作详细描述，但未提及任何手术需求。尽管这是 CS 患者的选择性样本，但最初的数据表明，运动参与（甚至在接触运动中）通常在 CS 矫正后的几年开始，是安全且常见的。
