■脊椎松解在参加体操的运动员中很常见,足球,舞蹈,和举重。很少有研究回顾年轻运动员在接受脊椎滑脱手术干预后的恢复运动(RTS)率。
■我们试图回顾有关RTS频率和定时的文献,以及术后治疗,在接受脊椎溶解手术的儿童和青少年中。
■这是一个系统的综述,使用PubMed,Embase,和Cochrane数据库,主要的,2014年至2022年发表的同行评审研究调查了脊椎裂手术后的儿童和青少年RTS。每位作者独立审查了每项研究的设计,参与人数,年龄范围,固定,术后疗程,RTS的频率,以及RTS失败的原因。
■最初的搜索产生了106篇文章;25篇被全面审查,9篇被列入最终分析,总共177名患者。样本量为5至52名参与者。最常见的固定是直接修复(6项研究,n=120),间接修复(3项研究,n=22),和融合(2项研究,n=35)。五项研究提到了术后立即固定的使用。物理疗法最常在术后6周开始。177名运动员(平均年龄小于23岁)的RTS率为76%至100%。RTS失败的最常见原因是下背痛。
■这项系统评价表明,年轻运动员在脊椎裂手术后的RTS率很高,但更严格的研究是必要的。该综述还发现,在现有研究中,首选的固定方法和术后治疗方案各不相同。
UNASSIGNED: Spondylolysis is common in athletes participating in gymnastics, football, dance, and weightlifting. Few studies have reviewed return to sports (RTS) rates in young athletes after surgical intervention for
spondylolysis.
UNASSIGNED: We sought to review the literature on RTS frequencies and timing, as well as postoperative treatment, in children and adolescents who underwent
spondylolysis surgery.
UNASSIGNED: This was a systematic review, using the PubMed, Embase, and Cochrane databases, of primary, peer-reviewed studies published from 2014 to 2022 that investigated child and adolescent RTS after
spondylolysis surgery. Each author independently reviewed each study\'s design, number of participants, age range, fixation, postoperative course of treatment, frequency of RTS, and reasons for failure of RTS.
UNASSIGNED: The initial search produced 106 articles; 25 were reviewed in full and 9 were included in the final analysis, with a combined total of 177 patients. Sample sizes ranged from 5 to 52 participants. The most common fixations were direct repair (6 studies, n = 120), indirect repair (3 studies, n = 22), and fusion (2 studies, n = 35). Five studies mentioned the use of immediate postoperative immobilization. Physical therapy programs were initiated most often at 6 weeks postoperatively. The RTS rate of the 177 athletes (median age younger than 23 years) was 76% to 100%. The most common reason for failure to RTS was lower back pain.
UNASSIGNED: This systematic review suggests that young athletes RTS at a high rate following
spondylolysis surgery, but more rigorous study is warranted. The review also found varied preferred fixation methodologies and postoperative treatment regimens across the available studies.