Spinal Injuries in the Overhead Athlete.
Athlete
Cervical
Lumbar
Overhead
Spine
Sport
Journal
Current reviews in musculoskeletal medicine
ISSN: 1935-973X
Titre abrégé: Curr Rev Musculoskelet Med
Pays: United States
ID NLM: 101317803
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
accepted:
15
08
2022
pubmed:
30
9
2022
medline:
30
9
2022
entrez:
29
9
2022
Statut:
ppublish
Résumé
Treatment of overhead athletes requires a systematic approach that will make an accurate diagnosis, deliver effective treatment, and make timely and safe return to sport. New data has shown success rates and return to play effectiveness after different types of cervical and lumbar surgery. Cervical foraminotomy has been shown to have the highest rate and fastest return to play, but with the highest incidence of need for revision surgery. Cervical artificial disc replacement has shown promising results in the general population and is being done more commonly in elite athletes, but has an unknown risk for failure. Cervical fusion is a well-established and effective treatment, but has the longest healing time and risk for adjacent level pathology. In the lumbar spine, discectomy has a long and proven track record, fusion is rarely performed but can be effective, and artificial disc replacement is extremely rare in an elite athlete. An effective and comprehensive approach can diagnose, treat, and return overhead athletes to competitive play.
Identifiants
pubmed: 36173548
doi: 10.1007/s12178-022-09791-2
pii: 10.1007/s12178-022-09791-2
pmc: PMC9789260
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
521-534Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
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