Evidence map›Paper›PMID 38874639›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2024

Long-term results and surgical strategy development for degenerative disease treatment in athletes: a retrospective single-center study.

Vadim A Byvaltsev, Andrei A Kalinin, Marat A Aliyev, Yurii Ya Pestryakov, K Daniel Riew

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Article in 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, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Vadim A ByvaltsevDepartment of Neurosurgery, Irkutsk State Medical University, Irkutsk, Russia. vadim75byvaltsev@gmail.com.ORCID http://orcid.org/0000-0003-4349-7101
Andrei A KalininDepartment of Neurosurgery, Irkutsk State Medical University, Irkutsk, Russia.ORCID http://orcid.org/0000-0002-6059-4344
Marat A AliyevDepartment of Neurosurgery, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.ORCID http://orcid.org/0000-0002-3190-2395
Yurii Ya PestryakovDepartment of Neurosurgery, Irkutsk State Medical University, Irkutsk, Russia.ORCID http://orcid.org/0000-0001-7076-571X
K Daniel RiewDepartment of Orthopedic Surgery, Columbia University, New York, USA.ORCID http://orcid.org/0000-0003-2083-9375

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo 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.

methodsFor 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).

resultsThe 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.

conclusionsIn 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.

Indexed as

AthletesIntervertebral Disc DegenerationLumbar VertebraeSpinal FusionAdultDiskectomyFemaleHumansMaleMiddle AgedRetrospective StudiesTotal Disc ReplacementTreatment OutcomeYoung AdultDegenerative diseaseEndoscopic discectomyLumbar interbody fusionLumbar spineMicrodiscectomyPreoperative planningPRP therapyRehabilitationReturn to sportSportsSurgical strategyTotal disc replacement

Identifiers

PMID38874639

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.