Return to sport after lumbar fusion among patients with degenerative spinal disease
Abstract Introduction and purpose Low-back pain (LBP) is one the most common causes of medical visits. Although specific diagnosis cannot always be made, degenerative spinal disease may be one. Non-surgical approach is the treatment of choice in most cases and provides satisfactory results. How...
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Format: | Article |
Language: | English |
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Kazimierz Wielki University
2022-07-01
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Series: | Journal of Education, Health and Sport |
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Online Access: | https://apcz.umk.pl/JEHS/article/view/38865 |
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author | Jakub Baranowski Agata Terebecka Anna Kuźminko-Bojarczuk Leszek Sagan |
author_facet | Jakub Baranowski Agata Terebecka Anna Kuźminko-Bojarczuk Leszek Sagan |
author_sort | Jakub Baranowski |
collection | DOAJ |
description |
Abstract
Introduction and purpose
Low-back pain (LBP) is one the most common causes of medical visits. Although specific diagnosis cannot always be made, degenerative spinal disease may be one. Non-surgical approach is the treatment of choice in most cases and provides satisfactory results. However, some patients require surgery when conservative treatment fails. Among different interventions, lumbar fusion is one of the most important. Common question arising from patients qualified for this type of surgery is the possibility of returning to sport (RTS).
Description of the state of knowledge
Successful RTS may be achieved with proper rehabilitation without surgery. However, invasive intervention, including lumbar fusion, is indicated when a non-surgical approach fails. Return to recreational sport is highly plausible among patients operated for spinal structures degeneration. The timing of RTS varies on the type of sport, nonetheless one may expect to rejoin sporting activities within a year. The return to golf has been well documented in the literature in comparison to other sport types. Golfers may expect successful recovery as 79-100% of them re-engage in golfing activities. Positive RTS is feasible for professional athletes and some of them are able to compete at elite level after surgery. The need for a well-structured rehabilitation protocol is underlined.
Summary
Successful RTS can be achieved in the vast majority of cases after lumbar fusion procedures. The suggested timeframes has been set as 6-12 months depending on the sport type. There are no strict recommendations, but general criterias include: 1) complete/nearly complete pain reduction; 2) adequate flexibility, strength and range of motion; 3) radiographic evidence of successful fusion.
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first_indexed | 2024-04-13T15:27:17Z |
format | Article |
id | doaj.art-f41fd887a0fa40b6ba3249e66f8f063d |
institution | Directory Open Access Journal |
issn | 2391-8306 |
language | English |
last_indexed | 2024-04-13T15:27:17Z |
publishDate | 2022-07-01 |
publisher | Kazimierz Wielki University |
record_format | Article |
series | Journal of Education, Health and Sport |
spelling | doaj.art-f41fd887a0fa40b6ba3249e66f8f063d2022-12-22T02:41:29ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062022-07-0112710.12775/JEHS.2022.12.07.026Return to sport after lumbar fusion among patients with degenerative spinal diseaseJakub Baranowski0Agata Terebecka1Anna Kuźminko-Bojarczuk2Leszek Sagan3Klinika Neurochirurgii i Neurochirurgii Dziecięcej SPSK1 PUM w SzczecinieZakład Diagnostyki Rentgenowskiej SPSK2 PUM w SzczecinieZakład Diagnostyki Rentgenowskiej SPSK2 PUM w SzczecinieKlinika Neurochirurgii i Neurochirurgii Dziecięcej SPSK1 PUM w Szczecinie Abstract Introduction and purpose Low-back pain (LBP) is one the most common causes of medical visits. Although specific diagnosis cannot always be made, degenerative spinal disease may be one. Non-surgical approach is the treatment of choice in most cases and provides satisfactory results. However, some patients require surgery when conservative treatment fails. Among different interventions, lumbar fusion is one of the most important. Common question arising from patients qualified for this type of surgery is the possibility of returning to sport (RTS). Description of the state of knowledge Successful RTS may be achieved with proper rehabilitation without surgery. However, invasive intervention, including lumbar fusion, is indicated when a non-surgical approach fails. Return to recreational sport is highly plausible among patients operated for spinal structures degeneration. The timing of RTS varies on the type of sport, nonetheless one may expect to rejoin sporting activities within a year. The return to golf has been well documented in the literature in comparison to other sport types. Golfers may expect successful recovery as 79-100% of them re-engage in golfing activities. Positive RTS is feasible for professional athletes and some of them are able to compete at elite level after surgery. The need for a well-structured rehabilitation protocol is underlined. Summary Successful RTS can be achieved in the vast majority of cases after lumbar fusion procedures. The suggested timeframes has been set as 6-12 months depending on the sport type. There are no strict recommendations, but general criterias include: 1) complete/nearly complete pain reduction; 2) adequate flexibility, strength and range of motion; 3) radiographic evidence of successful fusion. https://apcz.umk.pl/JEHS/article/view/38865return to sportspinal fusionspondylosisintervertebral disc degeneration |
spellingShingle | Jakub Baranowski Agata Terebecka Anna Kuźminko-Bojarczuk Leszek Sagan Return to sport after lumbar fusion among patients with degenerative spinal disease Journal of Education, Health and Sport return to sport spinal fusion spondylosis intervertebral disc degeneration |
title | Return to sport after lumbar fusion among patients with degenerative spinal disease |
title_full | Return to sport after lumbar fusion among patients with degenerative spinal disease |
title_fullStr | Return to sport after lumbar fusion among patients with degenerative spinal disease |
title_full_unstemmed | Return to sport after lumbar fusion among patients with degenerative spinal disease |
title_short | Return to sport after lumbar fusion among patients with degenerative spinal disease |
title_sort | return to sport after lumbar fusion among patients with degenerative spinal disease |
topic | return to sport spinal fusion spondylosis intervertebral disc degeneration |
url | https://apcz.umk.pl/JEHS/article/view/38865 |
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