Athletic Performance Outcomes Following Lumbar Discectomy in Professional Basketball Players

Anakwenze, Okechukwu A.; Namdari, Surena; Auerbach, Joshua D.; Baldwin, Keith; Weidner, Zachary; Lonner, Baron; Huffman, G. Russell; Sennett, Brian J.

doi:10.1097/brs.0b013e3181d3cf45

Cited by 58 publications

(71 citation statements)

References 12 publications

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“…The proportion of athletes who successfully returned to play after lumbar discectomy ranged from 75% to 100% in the seven articles [2,10,17,19,23,24,29] that reported this outcome measure. Of note, the definition of ''return to play'' varied among the articles.…”

Section: Resultsmentioning

confidence: 99%

“…Of note, the definition of ''return to play'' varied among the articles. Several articles [2,19,24,29] defined this as return to active participation in the previous sport, but some had stricter definitions such as being on the active roster [10,17] or logging 1 minute of play time in a regular season game [23].…”

Section: Resultsmentioning

confidence: 99%

“…In addition, there were four Olympians who participated in water polo, skiing, and swimming, two professional sailors, one professional ballerina, and one professional mixed martial arts fighter ( Table 2). The average age reported in these studies for patients undergoing lumbar discectomy ranged from 19.4 to 31.1 years [2,8,9,17,23,24,28,29]. The average body mass index (BMI) in studies that reported this statistic ranged from 21.9 to 35.5 kg/m 2 [2,8,10,28,29].…”

Section: Study Qualitymentioning

confidence: 99%

“…(2) What is the expected recovery time after lumbar discectomy in elite athletes? (3) What is the expected career length and performance of elite athletes after lumbar discectomy?…”

Section: Introductionmentioning

confidence: 99%

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Outcomes of Lumbar Discectomy in Elite Athletes: The Need for High-level Evidence

Nair

Kahlenberg

Hsu

2015

Clinical Orthopaedics &Amp; Related Research

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Background Although lumbar discectomy for treatment of lumbar disc herniation in the general population generally improves patients' pain, function, and validated outcomes scores, results of treatment in elite athletes may differ because of the unique performance demands required of competitive athletes. Questions/purposes We performed a systematic review to answer the following questions: (1) What proportion of athletes return to play after lumbar discectomy, and what is the effect of sport? (2) What is the expected recovery time after lumbar discectomy in elite athletes? (3) What is the expected career length and performance of elite athletes after lumbar discectomy? Methods We performed a systematic literature review of articles of lumbar discectomy in the elite athlete population through the MEDLINE and EMBASE databases from 1947 to 2013. Elite athletes were defined as professional, Olympic, or National Collegiate Athletic Association Division I collegiate level. A hand search of the references of all key articles was performed to ensure inclusion of all relevant studies. Information regarding study design, types of athletes, level of sport, recovery time, return to sport, length of career after surgery, and career performance after surgery was extracted. Ten articles met the inclusion and exclusion criteria for this review. These articles consisted of levels III and IV data and were graded based on the Methodological Index for Non-Randomized Studies (MINORS) scale. Results Overall, the studies included in this review found that 75% to 100% of athletes were able to return to elite competition after operative treatment. In general, a higher proportion of baseball players returned to elite competition compared with other athletes. The reported recovery period after lumbar discectomy ranged from 2.8 to 8.7 months. The average career length after lumbar discectomy ranged from 2.6 to 4.8 years. Elite athletes reached an average of 64.4% to 103.6% of baseline preoperative statistics after lumbar discectomy with variable performance based on sport. Conclusions A high proportion of elite athletes undergoing lumbar discectomy return to play with variable performance scores on return. Future prospective studies are needed to compare the recovery time, career longevity, and performance for athletes undergoing lumbar discectomy versus nonoperative treatment for lumbar disc herniation.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Qualitymentioning

confidence: 99%

“…(2) What is the expected recovery time after lumbar discectomy in elite athletes? (3) What is the expected career length and performance of elite athletes after lumbar discectomy?…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes of Lumbar Discectomy in Elite Athletes: The Need for High-level Evidence

Nair

Kahlenberg

Hsu

2015

Clinical Orthopaedics &Amp; Related Research

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“…This methodology has been validated in multiple studies. [1][2][3]9,13 Forty-two players with acute metacarpal fractures were initially identified. Players were included for analysis if they had played in at least 2 NBA seasons before and 2 NBA seasons after the index injury season.…”

Section: Methodsmentioning

confidence: 99%

Performance Outcomes After Metacarpal Fractures in National Basketball Association Players

Guss

Begly

Ramme

et al. 2016

Hand (New York, N,Y.)

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Background:The aim was to determine whether players in the National Basketball Association (NBA) who sustain metacarpal fractures demonstrate decreased performance upon return to competition when compared with their performance before injury and that of their control-matched peers. Methods: Data for 32 NBA players with metacarpal fractures incurred over 11 seasons (2002-2003 to 2012-2013) were obtained from injury reports, press releases, and player profiles (www.nba.com and www.basketballreference.com). Player age, body mass index (BMI), position, shooting hand, number of years in the league, and treatment (surgical vs nonsurgical) were recorded. Individual season statistics for the 2 seasons immediately prior to injury and the 2 seasons after injury, including player efficiency rating (PER), were obtained. Thirty-two controls matched by player position, age, and performance statistics were identified. A performance comparison of the cohorts was performed. Results: Mean age at the time of injury was 27 years with an average player BMI of 24. Players had a mean 5.6 seasons of NBA experience prior to injury. There was no significant change in PER when preinjury and postinjury performances were compared. Neither injury to their shooting hand nor operative management of the fracture led to a decrease in performance during the 2 seasons after injury. When compared with matched controls, no significant decline in performance in PER the first season and second season after injury was found. Conclusion: NBA players sustaining metacarpal fractures can reasonably expect to return to their preinjury performance levels following appropriate treatment.

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Facial Fractures and the National Basketball Association: Epidemiology and Outcomes

et al. 2020

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Objectives/Hypothesis: To identify the epidemiology and impact of facial fractures on player performance and return to play (RTP) in the National Basketball Association (NBA). Study Design: Retrospective case-control series Methods: Fifty-three NBA players who sustained facial fractures between 1984 and 2018 were identified. Players with pre-and postinjury statistics were included in the performance analysis. A control group was matched by age, body mass index (BMI), position, NBA experience, and player efficiency rating. Fisher exact tests and Student t tests were performed to analyze player demographics and performance variables. Results: At the time of injury, the average player's age was 26.17 years, BMI was 24.80 kg/m 2 , and NBA experience was 4.97 years. Players missed an average of 3.77 games and 18.21 days prior to RTP. Forty-eight players (90.6%) did RTP the subsequent season, whereas 43 of those players (81.1%) met inclusion criteria for performance analysis. There was no significant change in performance between pre-and postinjury seasons. Players managed operatively missed significantly more games (8.15 vs. 1.85; P = .034) and days (51.08 vs. 5.53; P = .003) than players managed nonoperatively, whereas performance was not impacted. Average career length following facial fracture was significantly shorter compared to controls (5.14 vs. 6.42 years; P = .010) and a decrease in three-pointer percentage (P = .004) was observed. Conclusions: The majority of players who suffer facial fractures RTP in the NBA and do not experience significant decline in performance following injury. These results should aid physicians caring for basketball players at any level, and may help inform future guidelines for treatment and injury prevention.

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Athletic Performance Outcomes Following Lumbar Discectomy in Professional Basketball Players

Cited by 58 publications

References 12 publications

Outcomes of Lumbar Discectomy in Elite Athletes: The Need for High-level Evidence

Outcomes of Lumbar Discectomy in Elite Athletes: The Need for High-level Evidence

Performance Outcomes After Metacarpal Fractures in National Basketball Association Players

Facial Fractures and the National Basketball Association: Epidemiology and Outcomes

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