医学
髂嵴
颈椎前路椎间盘切除融合术
运动员
回顾性队列研究
外科
联盟
颈部神经根病变
队列
颈椎
物理疗法
内科学
物理
天文
作者
William R. Hotchkiss,Andrew Clavenna,Scott J. B. Nimmons,Andrew Dossett
出处
期刊:Clinical spine surgery
[Ovid Technologies (Wolters Kluwer)]
日期:2022-05-16
卷期号:35 (9): E680-E684
被引量:1
标识
DOI:10.1097/bsd.0000000000001343
摘要
Level III-retrospective study.The aim was to evaluate the effect method of bone grafting and contract status have on outcomes in a cohort of professional athletes treated with anterior cervical discectomy and fusion (ACDF).The choice of graft-type in ACDF is controversial, with current reports limited to smaller cohorts.Retrospective analysis of 54 professional athletes treated with single level ACDF for cervical disc herniation, cervical fracture, or transient paraparetic event.A case series of professional athletes with ACDF by the senior surgeon were evaluated, 39 with structural iliac crest autograft and 15 with allograft. All autograft patients had confirmed bony fusion, whereas 13/15 allograft patients had a confirmed bony fusion. Each of these players (2/15, 13.3%) was delayed for clearance for return to play by 1 season. In total, 43/50 players (88%) returned to professional play; 25/27 (92.6%) of them "self-employed" and 18/23 (78.2%) "league-contracted."Surgical treatment of cervical pathology in the professional athlete with structural iliac crest autograft results in high union and return to play rates. Use of allograft resulted in a 13.3% increased rate of missing an additional season. Self-employed athletes returned to play 1 season earlier than league-contracted athletes on average.
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