The Role of Cervical Disc Arthroplasty in Elite Athletes.

IF 2.9 2区 医学 Q1 ORTHOPEDICS Current Reviews in Musculoskeletal Medicine Pub Date : 2023-09-01 DOI:10.1007/s12178-023-09858-8
Hogan Brecount, Alyssa Goodwin, David M Hiltzik, Wellington K Hsu
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Abstract

Purpose of review: Cervical disc arthroplasty (CDA) for the treatment of symptomatic cervical disc herniations (CDH) is a promising treatment for professional athletes. In recent years, a number of high-profile athletes have returned to professional play within three months after CDA, raising important questions about the potential of this procedure within this patient group. We provide the first comprehensive review of available literature for the safety and efficacy of CDA in professional contact sport athletes.

Recent findings: CDA provides theoretical biomechanical advantages over anterior cervical discectomy and fusion (ACDF) and posterior foraminotomy (PF), as CDA is the only operation for treatment of CDH that provides neural decompression, stability and height restoration, with preserved range of motion. While the comparative long-term results from each procedure are unknown, CDA has provided encouraging promise in its use in professional contact athletes. We aim to aid ongoing discussions regarding the controversies in spine surgery for professional athletes by providing a scientific review of the available evidence-based literature involving cervical disc arthroplasty in this population. In general, we believe that CDA is a viable alternative to ACDF and PF for the contact professional athlete who requires full neck range of motion and desires an expedited return to play. For collision athletes, the short- and long-term safety and efficacy profile of this procedure is promising but still unclear.

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颈椎椎间盘置换术在优秀运动员中的作用。
综述目的:颈椎间盘置换术(CDA)治疗症状性颈椎间盘突出症(CDH)是一种很有前途的治疗方法。近年来,许多知名运动员在CDA术后三个月内就恢复了职业比赛,这引发了关于该手术在该患者群体中的潜力的重要问题。我们提供了第一个关于CDA在职业接触运动运动员中的安全性和有效性的文献综述。最近的研究发现:CDA在理论上比前路颈椎椎间盘切除术和融合术(ACDF)和后路椎间孔切开术(PF)具有生物力学优势,因为CDA是唯一一种治疗CDH的手术,可以提供神经减压、稳定和高度恢复,并保留活动范围。虽然每种手术的比较长期结果尚不清楚,但CDA在专业接触运动员中的应用提供了令人鼓舞的希望。我们的目的是通过对现有的以证据为基础的文献进行科学回顾,以帮助正在进行的关于专业运动员脊柱手术争议的讨论,这些文献涉及该人群的颈椎间盘置换。总的来说,我们相信CDA是ACDF和PF的一个可行的替代方案,对于需要完整的颈部活动范围和希望快速恢复比赛的接触性专业运动员来说。对于碰撞运动员来说,这种手术的短期和长期的安全性和有效性是有希望的,但仍不清楚。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.50
自引率
2.40%
发文量
64
期刊介绍: This journal intends to review the most significant recent developments in the field of musculoskeletal medicine. By providing clear, insightful, balanced contributions by expert world-renowned authors, the journal aims to serve all those involved in the diagnosis, treatment, management, and prevention of musculoskeletal-related conditions. We accomplish this aim by appointing authorities to serve as Section Editors in key subject areas, such as rehabilitation of the knee and hip, sports medicine, trauma, pediatrics, health policy, customization in arthroplasty, and rheumatology. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 20 diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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