Evidence map›Paper›PMID 37462878›Full record

ArticleSpine deformity2023

Activity and sports resumption after long segment fusions to the pelvis for adult spinal deformity: survey results of AO Spine members.

Alekos A Theologis, Daniel D Cummins, So Kato, Stephen Lewis, Christopher Shaffrey, Lawrence Lenke, Sigurd H Berven, AO Spine Knowledge Forum Deformity

Abstract read
In one paragraph

Article in Spine deformity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Return to tennis following adult spinal deformity surgery: case series.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  2. Return to Golf after corrective surgery in adult spinal deformity patients with long fusion constructs: A retrospective case series.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  3. Article
  4. Article
  5. Return to sporting activities following long fusions to the pelvis in adult spinal deformity.The spine journal : official journal of the North American Spine Society · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alekos A TheologisDepartment of Orthopaedic Surgery, University of California-San Francisco (UCSF), 500 Parnassus Ave, MUW 3rd Floor, San Francisco, CA, 94143, USA. alekos.theologis@ucsf.edu.ORCID http://orcid.org/0000-0001-6170-2813
Daniel D CumminsDepartment of Orthopaedic Surgery, University of California-San Francisco (UCSF), 500 Parnassus Ave, MUW 3rd Floor, San Francisco, CA, 94143, USA.
So KatoDepartment of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan.
Stephen LewisDepartment of Surgery and Spine Program, University of Toronto, Toronto, ON, Canada.
Christopher ShaffreyDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Lawrence LenkeDepartment of Orthopedic Surgery, The Spine Hospital, Columbia University Medical Center, New York, NY, USA.
Sigurd H BervenDepartment of Orthopaedic Surgery, University of California-San Francisco (UCSF), 500 Parnassus Ave, MUW 3rd Floor, San Francisco, CA, 94143, USA.
AO Spine Knowledge Forum Deformity

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess recommendations for when adult spinal deformity (ASD) patients may return to athletic activities after surgery.

methodsA web-based survey was administered to members of AO Spine. The survey consisted of surgeon demographic information and questions asking when a patient undergoing a long thoracolumbar fusion (> 5 levels) with pelvic fixation for ASD would be allowed to resume unrestricted range of motion (ROM), non-contact sports, and contact sports postoperatively. Ordinal logistic regression was used to determine predictors for time to resume each activity.

resultsOne hundred twenty four members' responses were included for analysis. The majority of respondents would allow unrestricted ROM within 3 months postop (< 3 months: 81% vs > 3 months: 19%]. For when to return to non-contact sports, the most common responses were "2-3 months" (26.6%), "3-4 months" (26.6%), and "6-12 months" (18.5%). For when to return to contact sports, the majority advised > 4 months postop [> 4 months: "4-6 months" (19.2%), "6-12 months" (28.0%), " > 12 months" (28.8%) versus < 4 months: "1-2 months" (4.0%), "2-3 months" (1.6%), "3-4 months" (8.8%)]. 8.8% responded they would "never" allow resumption of contact sports.

conclusionThere was significant variation between surgeons' recommendations for resumption of unrestricted range of motion and sports following long fusion with pelvic fixation for ASD. An evidence-based approach to activity recommendations will require information on outcomes and complications.

Indexed as

PelvisReturn to SportSpinal FusionAdultFemaleHumansLumbar VertebraeMaleMiddle AgedRange of Motion, ArticularSurveys and QuestionnairesTime FactorsAdult spinal deformityAO SpinePelvic fixationReturn to sportsSurvey

Identifiers

PMID37462878
PMCPMC10587314

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.