Citation

Reinke A, Behr M, Preuss A, Villard J, Meyer B, Ringel F. World Neurosurg. 2016; 97: 241-246.

Affiliation

Department of Neurosurgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.

Copyright

(Copyright © 2016, Elsevier Publishing)

DOI

10.1016/j.wneu.2016.10.042

PMID

27751923

Abstract

OBJECT: Total disc replacement (TDR) is typically indicated in young patients with a cervical soft disc herniation. To date, there are few data on the activity level of patients after cervical TDR; in particular, from young patients who are expected to have a high activity level with frequent exercising. The expectation is that returning to active sports after cervical TDR is not restricted.

METHODS: Fifty patients were treated with a monosegmental cervical TDR at our department between May 2006 and March 2012. Clinical status and radiographic parameters were evaluated preoperatively and during follow up. In addition, information was gathered regarding neck disability index (NDI), pain, a questionnaire concerning athletic aspects, and a modified Tegner activity score. Study design was a prospective case series RESULTS: All patients were treated with the Prestige® artificial cervical disc for a single level soft disc herniation with radiculopathy. The average age was 40 years, and the mean follow-up period was 53 months (26-96). The Median NDI during follow up was 5, and median VAS pain was 2. Two professional athletes, 20 semi-professionals, 24 hobby athletes and 5 patients with a very low activity level were treated. The median time to resumption of sporting activity was 4 weeks after surgery. All professionals and semi-professionals recovered to their previous activity level. All of the 20 hobby athletes recovered to resume their sport participation. The modified Tegner preoperative score was 4 and the postoperative 3.5 (p=0.806).

CONCLUSION: We found that cervical TDR did not prohibit sporting activities. All patients recovered and were able to take part in their previous activities at an appropriate intensity level.

Copyright © 2016 Elsevier Inc. All rights reserved.

Language: en