Goto Kazumi, Kawasaki Yosuke, Hirota Jinso, Yamamoto Naoya, Seichi Atsushi
Department of Orthopaedic Surgery, Mitsui Memorial Hospital, Tokyo, Japan.
Orthop J Sports Med. 2023 May 18;11(5):23259671231169936. doi: 10.1177/23259671231169936. eCollection 2023 May.
The number of elderly sports participants is increasing, and the possibility of return to sport (RTS) has become an important part of surgical decision making in this population.
To investigate RTS after elective spinal surgery in elderly patients.
Case series; Level of evidence, 4.
We enrolled patients aged ≥65 years with a history of preoperative or preinjury sports participation who underwent elective spinal surgery at a single institution between 2019 and 2021. At minimum 12-month follow-up, a questionnaire was administered to each participant to assess postoperative RTS, timing of return, frequency and type of pre- and postoperative activities, and satisfaction (scored 1-10). Descriptive statistical analyses were performed, and regression models were developed to examine the influence of age and sex, as well as surgical site, on RTS.
A total of 53 patients (mean ± SD age, 73.8 ± 5.2 years; 24 women) were included, and 23 (43.4%) returned to sports at a median 6 months (interquartile range, IQR, 2-6 months). The RTS rate by surgical site was 17 of 34 (50%) for the lumbar spine and 6 of 17 (35.3%) for the cervical spine. There were no statistically significant differences in RTS rate by surgical site, age, or sex. Overall, 6 of 17 patients returned to golf, 4 of 6 to dance, 2 of 5 to swimming, and 1 of 5 to tennis. Of patients who returned, 34.8% participated in sports 5 times per week and 26.1% participated 3 times per week. The median satisfaction score after RTS was 8 (IQR, 6-9).
RTS after spinal surgery was achieved in 43% patients at 1-year minimum follow-up, with high satisfaction scores. More than half of the returning patients participated in sports activities ≥3 times per week.
老年体育参与者的数量在增加，恢复运动（RTS）的可能性已成为该人群手术决策的重要组成部分。
调查老年患者择期脊柱手术后的RTS情况。
病例系列；证据等级，4级。
我们纳入了2019年至2021年期间在单一机构接受择期脊柱手术、年龄≥65岁且有术前或受伤前体育活动史的患者。在至少12个月的随访中，向每位参与者发放问卷，以评估术后RTS、恢复时间、术前和术后活动的频率及类型，以及满意度（评分1 - 10）。进行描述性统计分析，并建立回归模型以研究年龄、性别以及手术部位对RTS的影响。
共纳入53例患者（平均年龄±标准差，73.8±5.2岁；24例女性），其中23例（43.4%）在中位时间6个月（四分位间距，IQR，2 - 6个月）恢复运动。腰椎手术部位的RTS率为34例中的17例（50%），颈椎手术部位的RTS率为17例中的6例（35.3%）。手术部位、年龄或性别对RTS率无统计学显著差异。总体而言，17例患者中有6例恢复打高尔夫球，6例中有4例恢复跳舞，5例中有2例恢复游泳，5例中有1例恢复打网球。恢复运动的患者中，34.8%每周参加体育活动5次，26.1%每周参加3次。RTS后的中位满意度评分为8分（IQR，6 - 9）。
在至少1年的随访中，43%的患者脊柱手术后实现了RTS，满意度评分较高。超过一半的恢复运动患者每周参加体育活动≥3次。
