Cervical Disk Arthroplasty in a Collegiate Football Player

Satalich, James; Wyatt, Phillip; O’Neill, Connor; Kalluri, Prakasam; O’Connell, Robert S.

doi:10.13107/jocr.2022.v12.i09.3008

Cited by 3 publications

(9 citation statements)

References 11 publications

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“…Across seven studies, all patients were diagnosed with disk herniation/degeneration with symptoms of radicular/axial pain. One level was most commonly reported, besides one study 25 that reported a 2-level CDR. Only one study 15 specified the prosthesis used (Prestige Lumbar Prosthesis) (Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 488 studies were screened, and 10 met inclusion criteria. [13][14][15][20][21][22][23][24] Seven studies [13][14][15]20,21,25,26 discussed athletes who had undergone CDR, and three studies [22][23][24] discussed those with LDR. A full Preferred Reporting Items for Systematic Reviews and Meta-Analysis flow diagram is presented in Figure 1.…”

Section: Descriptive Statisticsmentioning

confidence: 99%

Section: Cervical Disk Replacement Study Information and Demographicsmentioning

confidence: 99%

“…Of the seven articles, three studies 14,20,21 were retrospective cohorts, three were case reports, 13,25,26 and one was a prospective cohort. 15 Four studies 13,15,25,26 investigated exclusively those with CDR, whereas the remaining studies included patients with CDR, fusions, and decompressions only. A total of 53 athletes undergoing CDR were discussed across the seven studies, of which seven (13%) were professional, 22 (42%) semiprofessional, and 24 (45%) recreational (Figure 2A).…”

Section: Cervical Disk Replacement Study Information and Demographicsmentioning

confidence: 99%

“…Of the seven professional athletes, one (14%) played contact sports (kickboxing), three (43%) played limited-contact sports (3 baseball), and three (43%) played noncontact sports (2 lugers, 1 marathoner) (Figure 2B). Two studies 25,26 included a semiprofessional athlete each, both of whom were collegiate football players. One study included athletes of both semiprofessional and recreational levels, and sports/ contact level was not specified.…”

Section: Cervical Disk Replacement Study Information and Demographicsmentioning

confidence: 99%

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Cervical and Lumbar Disk Replacement in Athletes: Is It Safe to Return to Play? A Systematic Review of the Scientific Literature and Lay Press

Jo,

Davidar,

Hersh

et al. 2023

Neurosurgery

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BACKGROUND AND OBJECTIVES: Cervical/lumbar total disk replacements (TDRs) are often performed for degenerative conditions but rarely in athletes. Therefore, we sought to conduct a systematic review of athletes undergoing TDRs of both the scientific literature and lay press, with an emphasis on contact sport athletes. METHODS: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, PubMed/Embase/Cochrane/Scopus/Web of Science databases were queried for all primary literature reporting TDRs in athletes, including both cervical/lumbar disk replacements (CDRs/LDRs). Sports were dichotomized into contact vs limited/noncontact. Because of the public nature of injuries in elite athletes, the lay press was also queried. RESULTS: A total of 488 scientific studies were screened, of which 10 met inclusion criteria. Cervical: seven studies reported CDRs in 53 athletes, of which 7 were professional, 22 semiprofessional, and 24 recreational. Of the seven professional athletes, there was one contact sport athlete (kickboxer). All 7/7 professional and 21/22 semiprofessional athletes successfully returned-to-play at 8-52 weeks without complication. Lumbar: Three studies discussed LDRs in 51 athletes, of which 17 were professional, 6 semiprofessional, and 28 recreational. Of the 17 professional athletes, eight played contact sports (2 boxing, 2 alpine skiing, 2 soccer, judo, rugby). All 17 professional and 6 semiprofessional athletes successfully returned to play at 9–21 weeks. Lay Press: five professional contact sport athletes underwent CDRs, and all returned to play: 3 hockey, 1 mixed-martial arts, and 1 Australian-rules football. CONCLUSION: The scientific literature and lay press revealed 14 professional contact sport athletes who underwent TDR—6 CDRs and 8 LDRs—all with successful return to play. From the little data that exist, it seems that TDR may be safe in elite athletes; however, the small number of patients highlights the major paucity of data on the safety of TDR in elite contact sport athletes.

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Section: Resultsmentioning

confidence: 99%

Section: Descriptive Statisticsmentioning

confidence: 99%

Section: Cervical Disk Replacement Study Information and Demographicsmentioning

confidence: 99%

Section: Cervical Disk Replacement Study Information and Demographicsmentioning

confidence: 99%

Section: Cervical Disk Replacement Study Information and Demographicsmentioning

confidence: 99%

See 3 more Smart Citations

Cervical and Lumbar Disk Replacement in Athletes: Is It Safe to Return to Play? A Systematic Review of the Scientific Literature and Lay Press

Jo,

Davidar,

Hersh

et al. 2023

Neurosurgery

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The Role of Cervical Disc Arthroplasty in Elite Athletes

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Goodwin

Hiltzik

et al. 2023

Curr Rev Musculoskelet Med

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Cervical Total Disc Replacement in Athletes

Clohisy,

Maayan,

Asada

et al. 2023

Clinical Spine Surgery: A Spine Publication

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Study Design: Systematic review. 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: The role of cTDR in treating athletes with symptomatic cervical degenerative disc disease is undefined. 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: 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: 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.

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Cervical Disk Arthroplasty in a Collegiate Football Player

Cited by 3 publications

References 11 publications

Cervical and Lumbar Disk Replacement in Athletes: Is It Safe to Return to Play? A Systematic Review of the Scientific Literature and Lay Press

Cervical and Lumbar Disk Replacement in Athletes: Is It Safe to Return to Play? A Systematic Review of the Scientific Literature and Lay Press

The Role of Cervical Disc Arthroplasty in Elite Athletes

Cervical Total Disc Replacement in Athletes

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