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Spinal Deformities in the Adolescent Athlete.

Keith R Bachmann¹

¹Department of Orthopaedic Surgery, University of Virginia, PO Box 800159, Charlottesville, VA 22908, USA.

Clinics in Sports Medicine

|May 30, 2021

Summary

Idiopathic scoliosis affects 2-3% of athletes. Sports physicals can screen for spinal deformities, with bracing effective for curves over 20° and return to sports possible 6-12 months post-fusion.

Keywords:

Adolescents Down syndrome Posterior spinal fusion Return to sport Scoliosis

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Area of Science:

Orthopedics
Sports Medicine
Pediatric Health

Background:

Idiopathic scoliosis affects 2-3% of typically developing athletes.
Sports physicals serve as a key opportunity for screening spinal deformities.
Promoting healthy athletic participation is crucial for young athletes.

Purpose of the Study:

To highlight the prevalence of idiopathic scoliosis in athletes.
To emphasize the role of sports physicals in early detection.
To outline management and return-to-sport guidelines for athletes with scoliosis.

Main Methods:

Literature review on scoliosis management in athletic populations.
Analysis of current guidelines for bracing and surgical interventions.
Discussion of associated conditions and specific patient considerations.

Main Results:

Bracing is effective for curves exceeding 20° in halting progression.
Return to contact and noncontact sports is typically feasible 6-12 months after spinal fusion.
Associated conditions require individualized patient assessment.

Conclusions:

Early screening during sports physicals is vital for identifying spinal deformities like scoliosis.
Appropriate management, including bracing or surgical considerations, facilitates safe return to sports.
Comprehensive patient evaluation is necessary for scoliosis management, especially in cases with comorbidities such as Down syndrome.