Total Disc Replacement Surgery in a Professional Australian Rugby League Player: A Case Report

Gan, Thomas Y.; Rickenbach, Andre; Scott-Young, Matthew

doi:10.1097/jsm.0000000000000610

Cited by 2 publications

(9 citation statements)

References 9 publications

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“…All three articles originated from outside the United States Russia, 22 Australia, 23 Germany. 24 They included a case report, 23 a retrospective cohort of 11 patients, 22 and a prospective cohort of 39 patients. 24 All three studies investigated exclusively those with lumbar TDR.…”

Section: Resultsmentioning

confidence: 99%

“…24 All three studies investigated exclusively those with lumbar TDR. 22-24 A total of 51 athletes with lumbar TDR were studied, of which 17 (33%) were professional, 6 (12%) semiprofessional, and 28 (55%) recreational (Figure 3A). Of the 17 professional athletes, eight (47%) played contact sports (2 boxing, 2 alpine skiing, 2 soccer, 1 judo, 1 rugby), four (24%) played limited-contact sports (2 weightlifting, 1 figure skating, 1 skiing), and five (29%) played noncontact sports (2 fitness, 1 ballet, 1 archery, 1 tennis) (Figure 3B).…”

Section: Resultsmentioning

confidence: 99%

“…24 Across all patients, the mean age ranged from 30.0 to 39.8 years, and 57% were male (Table 4). 22-24…”

Section: Resultsmentioning

confidence: 99%

“…One study 24 noted 13 cases of subsidence at the last follow-up and reported two reoperations, including one revision surgery for abdominal hematoma and one diskectomy for adjacent segment herniation (Table 6). 22-24…”

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%

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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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