Effects of Spinal Fusion for Idiopathic Scoliosis on Lower Body Kinematics During Gait*

Kruger, Karen M.; Garman, Christina; Krzak, Joseph J.; Graf, Adam; Hassani, Sahar; Tarima, Sergey; Sturm, Peter; Hammerberg, Kim W.; Gupta, Purnendu; Harris, Gerald F.

doi:10.1016/j.jspd.2017.12.008

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…Авторами отмечены явления миопатии и значительное уменьшение волокон II типа в M. gluteus maximus [5,6]. Кроме того, есть ряд исследований, указывающих на тесную связь деформации позвоночника и патологических изменений в области таза, а также влияние мышц тазобедренного суста-a б ва и нижних конечностей на позвоночник [16][17][18][19][20]. Единственная работа по МСКТ ягодичных мышц посвящена изучению их у больных ахондроплазией, имеющих выраженные изменения в позвоночнике и тазобедренных суставах.…”

Section: Discussionunclassified

Multislice Computed Tomography in Diagnosing Changes in the Gluteal Muscles of Patients with Scoliosis at Different Ages and with Different Magnitudes of Deformation Before Treatment

Дьячкова

Зейналов²,

Корабельников

et al. 2020

Vestn. rentgenol. radiol.

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Objective. To study the gluteal muscles in patients with scoliosis of various etiologies using multislice computed tomography (MSCT).Material and methods. MSCT was first used to study the gluteal muscles of 27 patients with idiopathic scoliosis. The patients were examined to study the vertebral column in order to determine a method and tactics for scoliosis treatment. The muscles were additionally examined using workstations and programs for MSCT data processing. In a control group of 18 patients with no clinical manifestations of spinal and hip joint abnormalities or those detected on CT, their gluteal muscles were examined due to their pelvic organ diseases.Results. Patients younger than 18 years of age who had spinal deformations of not more than 60 degrees had muscle changes as moderate hypotrophy, increased density, especially that of the gluteus medius muscle to 62.01 ± 7.20 HU. In patients over 18 years of age, the muscle density decreased at any magnitude of deformation and was the smaller the older patients were. In patients with spinal deformation greater than 90 degrees, the density of the gluteus maximus muscle on the convex side was significantly different from that on the concave side and was less on the concave side (p <0.05) than in those with a deformation of 60–90 degrees.Conclusion. The results showed that in patients with scoliosis, the gluteal muscles were affected not only by the magnitude of deformation, but also by age. In patients over 18 years of age, muscle changes with equal magnitudes of deformation were more pronounced and were manifested by hypotrophy, atrophy, and fatty degeneration.

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Section: Discussionunclassified

Multislice Computed Tomography in Diagnosing Changes in the Gluteal Muscles of Patients with Scoliosis at Different Ages and with Different Magnitudes of Deformation Before Treatment

Дьячкова

Зейналов²,

Корабельников

et al. 2020

Vestn. rentgenol. radiol.

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“…In general, overall function seems well preserved in patients with spinal fusion. Gait motion analysis has shown that patients with scoliosis have a decreased range of motion of the pelvis and lumbar spine when walking, both before and after spinal fusion, and that LIV played a limited role in the lack of range of motion ( 15 ). That said, in the test called the stop-jump task, used to assess for agility and trunk control, athletes with a history of spinal fusion performed similarly to non-affected controls ( 16 ), suggesting that spinal fusion does not significantly impact their ability to participate in sports that require such types of body control.…”

Section: Impact Of Spinal Fusion On Body Mechanicsmentioning

confidence: 99%

Return to play following spine surgery

Tetreault

Garg

2023

Front. Pediatr.

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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.

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“…Several studies show its ability to describe trunk motion [6,7]. Some authors have described gait impairment in AIS patients, either preoperatively or after spinal fusion [8][9][10][11][12]. But to the best of our knowledge, most of reported results used protocols considering the spine as a unique rigid segment, whereas in reality, this is a polyarticular chain.…”

Section: Introductionmentioning

confidence: 99%

Early dynamic changes within the spine following posterior fusion using hybrid instrumentation in adolescents with idiopathic scoliosis: a gait analysis study

Pesenti

Prost

Pomero

et al. 2021

Arch Orthop Trauma Surg

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HAL is a multi-disciplinary open access archive for the deposit and dissemination of scientific research documents, whether they are published or not. The documents may come from teaching and research institutions in France or abroad, or from public or private research centers. L'archive ouverte pluridisciplinaire HAL, est destinée au dépôt et à la diffusion de documents scientifiques de niveau recherche, publiés ou non, émanant des établissements d'enseignement et de recherche français ou étrangers, des laboratoires publics ou privés.

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Effects of Spinal Fusion for Idiopathic Scoliosis on Lower Body Kinematics During Gait*

Abstract: Level II.

Cited by 4 publications

References 20 publications

Multislice Computed Tomography in Diagnosing Changes in the Gluteal Muscles of Patients with Scoliosis at Different Ages and with Different Magnitudes of Deformation Before Treatment

Multislice Computed Tomography in Diagnosing Changes in the Gluteal Muscles of Patients with Scoliosis at Different Ages and with Different Magnitudes of Deformation Before Treatment

Return to play following spine surgery

Early dynamic changes within the spine following posterior fusion using hybrid instrumentation in adolescents with idiopathic scoliosis: a gait analysis study

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