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Updated: Mar 16, 2026

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
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Return to Play After Lumbar Spine Surgery.

Ralph W Cook1, Wellington K Hsu1

  • 1Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Northwestern University, 676 North Saint Clair Street, Suite 1350, Chicago, IL 60611, USA.

Clinics in Sports Medicine
|August 21, 2016
PubMed
Summary

Surgical management of lumbar spine conditions offers excellent outcomes for athletes. Most athletes can return to pre-injury performance levels after procedures like microdiscectomy or pars repair.

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Clinical Outcomes Following Three- and Four-Level Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis.

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Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Spine surgery

Background:

  • Lumbar spine conditions frequently affect athletes.
  • Surgical interventions are common for these conditions.
  • Evidence-based return-to-play criteria are limited.

Purpose of the Study:

  • To review surgical management outcomes for lumbar spine conditions in athletes.
  • To discuss return-to-play considerations after spine surgery in athletes.

Main Methods:

  • Review of surgical techniques for lumbar disc herniation and pars injuries.
  • Analysis of outcomes for spinal fusion in athletes with scoliosis.
  • Discussion of factors influencing return to sport.

Main Results:

Keywords:
AthleteLumbar spine injuryLumbar spine surgeryPerformance outcomesReturn to play

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  • Microdiscectomy shows favorable outcomes, with most athletes returning to play.
  • Direct pars repair is successful in younger athletes, regardless of fixation.
  • Spinal fusion for scoliosis is a negative predictor for return to play.

Conclusions:

  • Surgical management can yield excellent results for athletes with lumbar spine issues.
  • Return to play requires full symptom resolution, flexibility, endurance, and strength.
  • Individualized assessment based on injury, sport, and athlete factors is crucial for return-to-play decisions.