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Review
. 2023 Apr 11:39:75-82.
doi: 10.1016/j.jor.2023.04.008. eCollection 2023 May.

Return to sport and active military duty after cervical disc arthroplasty: A systematic review

Charles R Reiter  1 , Chase T Nelson  1 , James R Satalich  2 , Conor N O'Neill  2 , John W Cyrus  3 , Robert S O'Connell  2 , Alexander R Vap  2
Affiliations
Review

Return to sport and active military duty after cervical disc arthroplasty: A systematic review

Charles R Reiter et al. J Orthop. .

Abstract

Introduction: Cervical disc arthroplasty (CDA) has been established as an effective treatment for cervical disc degeneration or herniation in the general population. Return to sport (RTS) outcomes in athletes remain unclear.

Objective: The purpose of this review was to evaluate RTS following single-level, multi-level, or hybrid CDA, with additional return to activity context provided by return to duty (RTD) outcomes in active-duty military.

Methods: Medline, Embase, and Cochrane were searched through August 2022 for studies that reported RTS/RTD after CDA in athletic or active-duty populations. Data was extracted on the following topics: surgical failures/reoperations, surgical complications, RTS/RTD, and postoperative time to RTS/RTD.

Results: Thirteen papers covering 56 athletes and 323 active-duty members were included. Athletes were 59% male with a mean age of 39.8 years and active-duty members were 84% male with a mean age of 40.9 years. Only 1 of 151 cases required reoperation and only 6 instances of surgical complications were reported. Classified as return to general sporting activity, RTS was observed in 100% of patients (n = 51/51) after an average of 10.1 weeks to training and 30.5 weeks to competition. RTD was observed in 88% of patients (n = 268/304) after an average of 11.1 weeks. Average follow-up was 53.1 months for athletes and 13.4 months for the active-duty population.

Conclusion: CDA displays excellent RTS and RTD rates in physically demanding populations at rates superior or equivalent to alternative treatments. Surgeons should consider these findings when determining the optimal cervical disc treatment approach in active patients.

Keywords: Cervical disc arthroplasty; Cervical disc replacement; Return to duty; Return to sport.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
PRISMA 2020 flow diagram for systematic reviews which included searches of databases and registers only.
See this image and copyright information in PMC

References

    1. Mummaneni P.V., Amin B.Y., Wu J.C., Brodt E.D., Dettori J.R., Sasso R.C. Cervical artificial disc replacement versus fusion in the cervical spine: a systematic review comparing long-term follow-up results from two FDA trials. Evid Base Spine Care J. Feb 2012;3(S1):59–66. doi: 10.1055/s-0031-1298610. - DOI - PMC - PubMed
    1. Sasso R.C., Smucker J.D., Hacker R.J., Heller J.G. Artificial disc versus fusion: a prospective, randomized study with 2-year follow-up on 99 patients. Spine. Dec 15 2007;32(26):2933–2940. doi: 10.1097/BRS.0b013e31815d0034. ; discussion 2941-2. - DOI - PubMed
    1. Bohlman H.H., Emery S.E., Goodfellow D.B., Jones P.K. Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. Long-term follow-up of one hundred and twenty-two patients. J Bone Joint Surg Am. Sep 1993;75(9):1298–1307. doi: 10.2106/00004623-199309000-00005. - DOI - PubMed
    1. Henderson C.M., Hennessy R.G., Shuey H.M., Jr., Shackelford E.G. Posterior-lateral foraminotomy as an exclusive operative technique for cervical radiculopathy: a review of 846 consecutively operated cases. Neurosurgery. Nov 1983;13(5):504–512. doi: 10.1227/00006123-198311000-00004. - DOI - PubMed
    1. Herkowitz H.N., Kurz L.T., Overholt D.P. Surgical management of cervical soft disc herniation. A comparison between the anterior and posterior approach. Spine. Oct 1990;15(10):1026–1030. doi: 10.1097/00007632-199015100-00009. - DOI - PubMed