دورية أكاديمية
Long-term results and surgical strategy development for degenerative disease treatment in athletes: a retrospective single-center study.
| العنوان: | Long-term results and surgical strategy development for degenerative disease treatment in athletes: a retrospective single-center study. |
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| المؤلفون: | Byvaltsev VA; Department of Neurosurgery, Irkutsk State Medical University, Irkutsk, Russia. vadim75byvaltsev@gmail.com.; Department of Neurosurgery, Railway Clinical Hospital, Irkutsk, Russia. vadim75byvaltsev@gmail.com.; Department of Traumatology, Orthopedic and Neurosurgery, Irkutsk State Medical Academy of Postgraduate Education, Irkutsk, Russia. vadim75byvaltsev@gmail.com., Kalinin AA; Department of Neurosurgery, Irkutsk State Medical University, Irkutsk, Russia.; Department of Neurosurgery, Railway Clinical Hospital, Irkutsk, Russia., Aliyev MA; Department of Neurosurgery, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan., Pestryakov YY; Department of Neurosurgery, Irkutsk State Medical University, Irkutsk, Russia., Riew KD; Department of Orthopedic Surgery, Columbia University, New York, USA.; Department of Neurological Surgery, Weill Cornell Medical School, New York, USA. |
| المصدر: | European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society [Eur Spine J] 2024 Jun 14. Date of Electronic Publication: 2024 Jun 14. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 9301980 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-0932 (Electronic) Linking ISSN: 09406719 NLM ISO Abbreviation: Eur Spine J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Heidelberg, Federal Republic of Germany : Springer-Verlag, c1992- |
| مستخلص: | Purpose: To analyze of the results of spine surgical treatment of athletes with lumbar degenerative disease and development of a surgical strategy based on the preoperative symptoms and radiological changes in the lumbar spine. Methods: For 114 athletes with lumbar degenerative disease were included in the present study. Four independent groups were studied: (1) microsurgical/endoscopic discectomy (n = 35); (2) PRP therapy in facet joints (n = 41); (3) total disc replacement (n = 11); (4) lumbar interbody fusion (n = 27). We evaluated postoperative clinical outcomes and preoperative radiological results. The average postoperative follow-up was 5 (3;6), 3.5 (3;5), 3 (2;4) and 4 (3;5) years, respectively. The analysis included an assessment of clinical outcomes (initial clinical symptoms, chronic pain syndrome level according to the VAS, quality of life according to the SF-36 questionnaire, degree of tolerance to physical activity according to the subjective Borg Rating of Perceived Exertion Scale) and radiological data (Dynamic Slip, Dynamic Segmental Angle, degenerative changes in the facet joint according to the Fujiwara classification and disc according to the Pfirrmann classification; changes in the diffusion coefficient using diffusion-weighted MRI). Results: The median and 25-75% quartiles timing of return to sports were 12.6 (10.2;14.1), 2.8 (2.4;3.7), 9 (6;12), and 14 (9;17) weeks, respectively. We examined the type of surgical treatment utilized, as well as the preoperative clinical symptoms, severity of degenerative changes in the intervertebral disc and facet joint, the timing of return to sports, the level of pain syndrome, the quality of life according to SF-36, and the degree of tolerance to physical activity. We then developed a surgical strategy based on individual preoperative neurological function and lumbar morphological changes. Conclusions: In this retrospective study, we report clinical results of four treatment options of lumbar spine degenerative disease in athletes. The use of developed patient selection criteria for the analyzed surgical techniques is aimed at minimizing return-to-play times. (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.) |
| References: | Reid PC, Morr S, Kaiser MG (2019) State of the union: a review of lumbar fusion indications and techniques for degenerative spine disease. J Neurosurg Spine 31(1):1–14. https://doi.org/10.3171/2019.4.SPINE18915. (PMID: 10.3171/2019.4.SPINE1891531261133) Davison MA, Lilly DT, Moreno J, Bagley C, Adogwa O (2021) A comparison of successful versus failed nonoperative treatment approaches in patients with degenerative conditions of the lumbar spine. J Clin Neurosci 86:71–78. https://doi.org/10.1016/j.jocn.2020.12.033. (PMID: 10.1016/j.jocn.2020.12.03333775350) Dettori JR (2021) Spine Treatment Appraisal Report (STAR): Return-to-Play in Elite Athletes After Symptomatic Lumbar Disc Herniation: Surgery or Non-Surgical Treatment? Global Spine J 11(6):999–1001. https://doi.org/10.1177/21925682211023470. (PMID: 10.1177/21925682211023470341965758258826) Gause PR, Godinsky RJ, Burns KS, Dohring EJ (2021) Lumbar Disk Herniations and Radiculopathy in Athletes. Clin Sports Med 40(3):501–511. https://doi.org/10.1016/j.csm.2021.04.001. (PMID: 10.1016/j.csm.2021.04.00134051943) Shah K, Bharuka A, Gadiya A, Nene A (2021) Assessment of Outcomes of Spine Surgery in Indian Athletes Involved in High-End Contact Sports. Asian Spine J 15(2):192–199. https://doi.org/10.31616/asj.2019.0376. (PMID: 10.31616/asj.2019.037632521952) Cook RW, Hsu WK (2016) Return to Play After Lumbar Spine Surgery. Clin Sports Med 35(4):609–619. https://doi.org/10.1016/j.csm.2016.05.006. (PMID: 10.1016/j.csm.2016.05.00627543402) Byvaltsev VA, Kalinin AA, Okoneshnikova AK, Biryuchkov MYu (2022) PRP therapy for the treatment of lumbar facet syndrome in professional team sports athletes. Hum Sport Med 22(1):169–178. Byvaltsev VA, Kalinin AA, Aliyev MA, Shepelev VV, Pestryakov YY, Ivanov M (2021) Clinical-instrumental results and analysis of functional activity restoration in professional athletes after lumbar total disk replacement. World Neurosurg 151:e1069–e1077. https://doi.org/10.1016/j.wneu.2021.05.066. (PMID: 10.1016/j.wneu.2021.05.06634052451) Byvaltsev VA, Kalinin AA, Shepelev VV, Pestryakov YY, Aliyev MA, Konovalov NA (2021) Rezul'taty minimal'no invazivnogo poyasnichnogo spondilodeza u professional'nykh sportsmenov: odnotsentrovoe retrospektivnoe issledovanie [Results of minimally invasive lumbar fusion in professional athletes: a single-center retrospective study]. Zh Vopr Neirokhir Im N N Burdenko 85(4):12–19. In Russian. https://doi.org/10.17116/neiro20218504112. White III, Augustus A, Monohar M (1990) Clinical Biomechanics of the Spine, 2nd edition, Lippincott: Philadelphia, PA, USA, 1990; pp. 23–45. Borg G, Dahlstrom H (1962) A pilot study of perceived exertion and physical working capacity. Acta Soc Med Ups 67:21–27. (PMID: 13871281) Fujiwara A, Lim TH, An HS, Tanaka N, Jeon CH, Andersson GB, Haughton VM (2000) The effect of disc degeneration and facet joint osteoarthritis on the segmental flexibility of the lumbar spine. Spine 25(23):3036–3044. https://doi.org/10.1097/00007632-200012010-00011. (PMID: 10.1097/00007632-200012010-0001111145815) Pfirrmann C, Metzdorf A, Zanetti M, Hodler J, Boos N (2001) Magnetic resonance classification of lumbar intervertebral disc degeneration. Spine 26(17):1873–1878. https://doi.org/10.1097/00007632-200109010-00011. (PMID: 10.1097/00007632-200109010-0001111568697) Belykh E, Kalinin AA, Patel AA, Miller EJ, Bohl MA, Stepanov IA, Bardonova LA, Kerimbaev T, Asantsev AO, Giers MB, Preul MC, Byvaltsev VA (2017) Apparent diffusion coefficient maps in the assessment of surgical patients with lumbar spine degeneration. PLoS ONE 12(8):e0183697. https://doi.org/10.1371/journal.pone.0183697. (PMID: 10.1371/journal.pone.0183697288467105573303) Takatalo J, Karppinen J, Näyhä S, Taimela S, Niinimäki J, Blanco Sequeiros R, Tammelin T, Auvinen J, Tervonen O (2017) Association between adolescent sport activities and lumbar disk degeneration among young adults. Scand J Med Sci Sports 27(12):1993–2001. https://doi.org/10.1111/sms.12840. (PMID: 10.1111/sms.1284028075521) Deng H, Yue JK, Ordaz A, Suen CG, Sing DC (2021) Elective lumbar fusion in the United States: national trends in inpatient complications and cost from 2002–2014. J Neurosurg Sci 65(5):503–512. https://doi.org/10.23736/S0390-5616.19.04647-2. (PMID: 10.23736/S0390-5616.19.04647-230942052) Davis GA, Makdissi M, Bloomfield P, Clifton P, Cowie C, Echemendia R, Falvey EC, Fuller GW, Green GA, Harcourt P, Hill J, Leahy K, Loosemore MP, McCrory P, McGoldrick A, Meeuwisse W, Moran K, Nagahiro S, Orchard JW, Pugh J, Raftery M, Sills AK, Solomon GS, Valadka AB (2020) Concussion guidelines in national and international professional and elite sports. Neurosurgery 87(2):418–425. https://doi.org/10.1093/neuros/nyaa057. (PMID: 10.1093/neuros/nyaa05732232354) Nisolle ML, Ghoundiwal D, Engelman E, El Founas W, Gouwy J, Guntz E, Kapessidou P, Tuna T (2023) Comparison of the effectiveness of ultrasound-guided versus fluoroscopy-guided medial lumbar bundle branch block on pain related to lumbar facet joints: a multicenter randomized controlled non-inferiority study. BMC Anesthesiol 11;23(1):76. https://doi.org/10.1186/s12871-023-02029-9 . Erratum in: BMC Anesthesiol 23(1):157. Wu B, He X, Peng BG (2020) Pyogenic discitis with an epidural abscess after cervical analgesic discography: a case report. World J Clin Cases 8(11):2318–2324. https://doi.org/10.12998/wjcc.v8.i11.2318. (PMID: 10.12998/wjcc.v8.i11.2318325481627281055) Willems P (2013) Decision making in surgical treatment of chronic low back pain: the performance of prognostic tests to select patients for lumbar spinal fusion. Acta Orthop Suppl 84(349):1–35. https://doi.org/10.3109/17453674.2012.753565. (PMID: 10.3109/17453674.2012.75356523427903) Brayda-Bruno M, Tibiletti M, Ito K, Fairbank J, Galbusera F, Zerbi A, Roberts S, Wachtel E, Merkher Y, Sivan SS (2014) Advances in the diagnosis of degenerated lumbar discs and their possible clinical application. Eur Spine J 23(Suppl 3):S315–S323. https://doi.org/10.1007/s00586-013-2960-9. (PMID: 10.1007/s00586-013-2960-923978994) Choi JH, Ochoa JK, Lubinus A, Timon S, Lee YP, Bhatia NN (2022) Management of lumbar spondylolysis in the adolescent athlete: a review of over 200 cases. Spine J 22(10):1628–1633. https://doi.org/10.1016/j.spinee.2022.04.011. (PMID: 10.1016/j.spinee.2022.04.01135504566) Ziegler DS, Jensen RK, Storm L, Carreon L, Andersen MO (2021) The association between early postoperative leg pain intensity and disability at 1-year and 2-year follow-up after first-time lumbar discectomy. Global Spine J 11(1):81–88. https://doi.org/10.1177/2192568219893296. (PMID: 10.1177/219256821989329632875841) Kantrowitz DE, Padaki AS, Ahmad CS, Lynch TS (2018) Defining platelet-rich plasma usage by team physicians in elite athletes. Orthop J Sports Med 6(4):2325967118767077. https://doi.org/10.1177/2325967118767077. (PMID: 10.1177/2325967118767077297808365954340) Van de Kelft E, Verguts L (2012) Clinical outcome of monosegmental total disc replacement for lumbar disc disease with ball-and-socket prosthesis (Maverick): prospective study with four-year follow-up. World Neurosurg 78(3–4):355–363. https://doi.org/10.1016/j.wneu.2011.10.043. (PMID: 10.1016/j.wneu.2011.10.04322120556) Jain NS, Lin CC, Halim A, Knight B, Byrne CT, Alluri R, Bhatia NN, Lee YP (2020) Return to recreational sport following lumbar fusion. Clin Spine Surg 33(4):E174–E177. https://doi.org/10.1097/BSD.0000000000000980. (PMID: 10.1097/BSD.000000000000098032168116) Burgmeier RJ, Hsu WK (2014) Spine surgery in athletes with low back pain-considerations for management and treatment. Asian J Sports Med 5(4):e24284. https://doi.org/10.5812/asjsm.24284. (PMID: 10.5812/asjsm.24284257414194335480) Hsu WK, Jenkins TJ (2017) Management of lumbar conditions in the elite athlete. J Am Acad Orthop Surg 25(7):489–498. https://doi.org/10.5435/JAAOS-D-16-00135. (PMID: 10.5435/JAAOS-D-16-0013528574940) Gadia A, Shah K, Nene A (2018) Outcomes of Various Treatment Modalities for Lumbar Spinal Ailments in Elite Athletes: A Literature Review. Asian Spine J 12(4):754–764. https://doi.org/10.31616/asj.2018.12.4.754. (PMID: 10.31616/asj.2018.12.4.754300603876068423) Aihara T, Kojima A, Urushibara M, Endo K, Sawaji Y, Suzuki H, Nishimura H, Murata K, Konishi T, Yamamoto K (2022) Long-term reoperation rates and causes for reoperations following lumbar microendoscopic discectomy and decompression: 10-year follow-up. J Clin Neurosci 95:123–128. https://doi.org/10.1016/j.jocn.2021.11.015. (PMID: 10.1016/j.jocn.2021.11.01534929635) Faulks CR, Biddau DT, Rossi VJ, Brazenor GA, Malham GM (2022) Long-term outcomes following lumbar total disc replacement with M6-L. J Spine Surg 8(3):304–313. https://doi.org/10.21037/jss-22-36. (PMID: 10.21037/jss-22-36362850929547696) Kaye AD, Edinoff AN, Rosen YE, Boudreaux MA, Kaye AJ, Sheth M, Cornett EM, Moll V, Friedrich C, Verhagen JS, Moser B, Navani A (2022) Regenerative medicine: pharmacological considerations and clinical role in pain management. Curr Pain Headache Rep 26(10):751–765. https://doi.org/10.1007/s11916-022-01078-y. (PMID: 10.1007/s11916-022-01078-y360742559453705) Roh YH, Lee JC, Hwang J, Cho HK, Soh J, Choi SW, Shin BJ (2022) Long-term clinical and radiological outcomes of minimally invasive transforaminal lumbar interbody fusion: 10-year follow-up results. J Korean Med Sci 4;37(13):e105. https://doi.org/10.3346/jkms.2022.37.e105. (PMID: 10.3346/jkms.2022.37.e10535380029) |
| فهرسة مساهمة: | Keywords: Degenerative disease; Endoscopic discectomy; Lumbar interbody fusion; Lumbar spine; Microdiscectomy; PRP therapy; Preoperative planning; Rehabilitation; Return to sport; Sports; Surgical strategy; Total disc replacement |
| تواريخ الأحداث: | Date Created: 20240614 Latest Revision: 20240614 |
| رمز التحديث: | 20240614 |
| DOI: | 10.1007/s00586-024-08283-w |
| PMID: | 38874639 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1432-0932 |
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| DOI: | 10.1007/s00586-024-08283-w |