Timing and Predictors of Return to Short-term Functional Activity in Adolescent Idiopathic Scoliosis After Posterior Spinal Fusion

Tarrant, Roslyn; O’Loughlin, Padhraig F.; Lynch, Sam; Queally, Joseph M.; Sheeran, Padraig; Moore, David P.; Kiely, Patrick

doi:10.1097/brs.0000000000000452

Cited by 28 publications

(31 citation statements)

References 21 publications

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“…Follow-up was performed by the study coordinator (RCT) via telephone interviews with parents and when indicated, the adolescent, every 6-8 weeks from the 6 weeks postoperative check-up using a structured questionnaire, until return to postoperative function was reported [24]. At each follow-up interview, patients reported their weight, until return to their preoperative weight was achieved.…”

Section: Follow-upmentioning

confidence: 99%

Anthropometric characteristics, high prevalence of undernutrition and weight loss: impact on outcomes in patients with adolescent idiopathic scoliosis after spinal fusion

Tarrant

Nugent

et al. 2014

Eur Spine J

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This study demonstrated that clinically severe postoperative weight loss >10%, identified in almost one-third of this AIS cohort, was associated with significantly increased wound infection incidence. Early detection and prevention of severe postoperative weight loss in patients with AIS who undergo spinal fusion may be beneficial in reducing wound infection risk. This study confirms a body of literature indicating the significantly lower weight and BMI in patients with AIS compared with healthy controls.

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Section: Follow-upmentioning

confidence: 99%

Anthropometric characteristics, high prevalence of undernutrition and weight loss: impact on outcomes in patients with adolescent idiopathic scoliosis after spinal fusion

Tarrant

Nugent

et al. 2014

Eur Spine J

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“…Tarrant et al’s prospective study of AIS patients undergoing PSF found that, on average, these patients return to school or college full-time 10 weeks postoperatively, and over 50% returned to unrestrained physical activity by 24 weeks postop. 81 This is markedly faster than in past decades, and many children may be able to surpass these goals. The AD protocol aims to motivate and enable children to return to their daily activities as soon as possible.…”

Section: Optimizing Postoperative Carementioning

confidence: 99%

Improving perioperative care for adolescent idiopathic scoliosis patients: the impact of a multidisciplinary care approach

Borden¹,

Bellaire²,

Fletcher³

2016

JMDH

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The complex nature of the surgical treatment of adolescent idiopathic scoliosis (AIS) requires a wide variety of health care providers. A well-coordinated, multidisciplinary team approach to the care of these patients is essential for providing high-quality care. This review offers an up-to-date overview of the numerous interventions and safety measures for improving outcomes after AIS surgery throughout the perioperative phases of care. Reducing the risk of potentially devastating and costly complications after AIS surgery is the responsibility of every single member of the health care team. Specifically, this review will focus on the perioperative measures for preventing surgical site infections, reducing the risk of neurologic injury, minimizing surgical blood loss, and preventing postoperative complications. Also, the review will highlight the postoperative protocols that emphasize early mobilization and accelerated discharge.

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“…According to the search performed, a total of six studies [7][8][9][10][11][12] met the inclusion criteria and were included for review. Of these studies, one was a PCS [8] and five were RS [7,[9][10][11][12].…”

Section: Included Studiesmentioning

confidence: 99%

Resumption of sport after spinal fusion for adolescent idiopathic scoliosis: a review of the current literature

et al. 2021

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Background Adolescent idiopathic scoliosis (AIS) is a frequent disorder. Since patients with AIS are typically as active as age-matched controls and post-operative reduction in physical activity has detrimental effects on their well-being, return to sport (RTS) is an important perioperative concern. Aim of the present study is to review the literature concerning return to sport after spinal fusion for AIS. Methods This work was carried out in accordance with Preferential Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The search was carried out in December 2020. Only peer-reviewed randomized controlled trials (RCTs), retrospective studies (RS), retrospective case series (RCS) and perspective cohort studies (PCS) were considered for inclusion. Results Six studies were included; only one of them was prospective. All the authors reported a time to RTS ranging between 6 and 18 months. Between 28 and 36.6% of all patients changed sport, choosing lower impact activities, mostly due to loss of flexibility of the spine. No complications due to return to play were noted. Conclusion According to current evidence, patients who received spinal arthrodesis for AIS can safely return to any sport, even those that require extreme levels of spinal and pelvic movements such as gymnastics and golf. As there is little evidence, however, of the spinal loading that occurs during such movements, there is a lack of scientific evidence-based recommendations or guidelines surgeons and other health care providers can follow. Prospective comparative studies are needed to investigate these biomechanical and clinical issues. Level of evidence Level III.

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Timing and Predictors of Return to Short-term Functional Activity in Adolescent Idiopathic Scoliosis After Posterior Spinal Fusion

Abstract: 3.

Cited by 28 publications

References 21 publications

Anthropometric characteristics, high prevalence of undernutrition and weight loss: impact on outcomes in patients with adolescent idiopathic scoliosis after spinal fusion

Anthropometric characteristics, high prevalence of undernutrition and weight loss: impact on outcomes in patients with adolescent idiopathic scoliosis after spinal fusion

Improving perioperative care for adolescent idiopathic scoliosis patients: the impact of a multidisciplinary care approach

Resumption of sport after spinal fusion for adolescent idiopathic scoliosis: a review of the current literature

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