Cervical Total Disc Replacement in Athletes: A Systematic Review.
Journal
Clinical spine surgery
ISSN: 2380-0194
Titre abrégé: Clin Spine Surg
Pays: United States
ID NLM: 101675083
Informations de publication
Date de publication:
01 Nov 2023
01 Nov 2023
Historique:
received:
10
06
2023
accepted:
10
08
2023
medline:
10
11
2023
pubmed:
22
9
2023
entrez:
22
9
2023
Statut:
ppublish
Résumé
Systematic review. To perform a systematic review to describe clinical characteristics, outcomes, and return to play after cervical total disc replacement (cTDR) in athletes. The role of cTDR in treating athletes with symptomatic cervical degenerative disc disease is undefined. A systematic search using MEDLINE through PubMed, EMBASE, and the Cochrane Library was conducted to identify all relevant literature. Data regarding study type, country in which the study was conducted, sample size, mean age, sex, type of sport, level of patient participation in sports, surgical indication, levels operated, type of implant, duration of follow-up, reoperations, surgical complications, extent of postoperative return to sports (RTSs), time to RTSs, and outcome notes were extracted from the included studies and analyzed. Seven studies, including 4 case series and 3 case reports, and a total of 57 cTDR cases, were included. There was significant heterogeneity among the cTDR cases in terms of chosen sport and level of participation. Prestige LP was utilized in 51 out of 57 (89.5%) cases and 53 out of 57 (93%) cases were single-level. No reoperations were noted at a mean follow-up of 51.6 months. All patients returned to sports postoperatively. Return to training and competition occurred at a mean of 10.1 weeks and 30.7 weeks postoperatively, respectively. The available evidence regarding cTDR in athletes indicates that these patients RTSs at high rates, with return to training occurring around 10 weeks and return to competition occurring around 30 weeks. Clinical outcomes in these patients are like those reported for the general population. Low-level evidence, small numbers of cases, heterogeneity in chosen sport and participation level, and predominance of a single implant type limit the conclusions that can be drawn from the current literature on this patient population.
Sections du résumé
STUDY DESIGN
METHODS
Systematic review.
OBJECTIVE
OBJECTIVE
To perform a systematic review to describe clinical characteristics, outcomes, and return to play after cervical total disc replacement (cTDR) in athletes.
SUMMARY OF BACKGROUND DATA
BACKGROUND
The role of cTDR in treating athletes with symptomatic cervical degenerative disc disease is undefined.
METHODS
METHODS
A systematic search using MEDLINE through PubMed, EMBASE, and the Cochrane Library was conducted to identify all relevant literature. Data regarding study type, country in which the study was conducted, sample size, mean age, sex, type of sport, level of patient participation in sports, surgical indication, levels operated, type of implant, duration of follow-up, reoperations, surgical complications, extent of postoperative return to sports (RTSs), time to RTSs, and outcome notes were extracted from the included studies and analyzed.
RESULTS
RESULTS
Seven studies, including 4 case series and 3 case reports, and a total of 57 cTDR cases, were included. There was significant heterogeneity among the cTDR cases in terms of chosen sport and level of participation. Prestige LP was utilized in 51 out of 57 (89.5%) cases and 53 out of 57 (93%) cases were single-level. No reoperations were noted at a mean follow-up of 51.6 months. All patients returned to sports postoperatively. Return to training and competition occurred at a mean of 10.1 weeks and 30.7 weeks postoperatively, respectively.
CONCLUSIONS
CONCLUSIONS
The available evidence regarding cTDR in athletes indicates that these patients RTSs at high rates, with return to training occurring around 10 weeks and return to competition occurring around 30 weeks. Clinical outcomes in these patients are like those reported for the general population. Low-level evidence, small numbers of cases, heterogeneity in chosen sport and participation level, and predominance of a single implant type limit the conclusions that can be drawn from the current literature on this patient population.
Identifiants
pubmed: 37735765
doi: 10.1097/BSD.0000000000001526
pii: 01933606-202311000-00006
doi:
Types de publication
Systematic Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
369-374Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
S.A.Q.: AMOpportunities—Honoraria; Annals of Translational Medicine—Editorial Board Member; Association of Bone and Joint Surgeons—Committee Member, Avaz Surgical—Ownership Interest, Contemporary Spine Surgery—Board Member; Global Spine Journal—Editorial Board Member; Globus Medical, Inc.—Consultant, Designer, Speakers’ Bureau; Healthgrades—Board Member; International Society for the Advancement of Spine Surgery—Committee Member; Journal of American Academy of Orthopedic Surgeons—Editorial Board Member; LifeLink.com Inc.—Advisory Board Member; Minimally Invasive Spine Study Group—Board Member; North American Spine Society—Committee Member; Paradigm Spine, LLC.—Consultant; RTI Surgical Inc.—Consultant; Designer Simplify Medical, Inc.—Clinical Events Committee Member; Society of Minimally Invasive Spine Surgery—Committee Member; Board Member Spinal Simplicity, LLC—Advisory Board Member; Spine—Editorial Board Member; Stryker K2M—Consultant, Royalties, Designer for expandable interbody implant; The Spine Journal—Editorial Board; Vital 5—Ownership Interest. The remaining authors declare no conflict of interest.
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