Tetreault Tyler A, Garg Sumeet
Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, United States.
Front Pediatr. 2023 Apr 17;11:1176563. doi: 10.3389/fped.2023.1176563. eCollection 2023.
Return to physical activity is a primary concern for adolescents with idiopathic scoliosis who are indicated for spinal fusion surgery. Preoperative counseling often addresses questions regarding ability to return to sport, postoperative restrictions, time away from play, and the safety of returning to activities. Previous works have shown that flexibility can noticeably decrease after surgery, and that the ability to return to the same level of play may be impacted by the levels of the spine included in the fusion. Equipoise remains on when patients should be allowed to return to non-contact, contact, and collision play; however, there is a trend toward earlier release to activities over the last few decades. Sources agree, though, that returning to play is safe, with rare instances of complications reported for patients with spinal fusion. Here, we review the literature on the function of spinal fusion levels on flexibility and biomechanics, address factors that may influence one's recovery of sports performance, and discuss safety considerations regarding return play following spine surgery.
对于因特发性脊柱侧弯而接受脊柱融合手术的青少年来说，恢复体育活动是一个主要问题。术前咨询通常会涉及有关恢复运动能力、术后限制、停止运动的时间以及恢复活动的安全性等问题。先前的研究表明，手术后柔韧性可能会显著下降，并且恢复到相同运动水平的能力可能会受到融合脊柱节段的影响。对于患者何时应被允许恢复非接触性、接触性和碰撞性运动，目前仍存在平衡观点；然而，在过去几十年中，有让患者更早恢复活动的趋势。不过，资料一致认为，恢复运动是安全的，脊柱融合患者出现并发症的情况很少见。在此，我们回顾了有关脊柱融合节段对柔韧性和生物力学影响的文献，探讨可能影响运动表现恢复的因素，并讨论脊柱手术后恢复运动的安全注意事项。
