Microscopic lumbar discectomy results for 60 cases in professional and Olympic athletes

Williams, Lytton; Watkins, Robert G.

doi:10.1016/s1529-9430(02)00569-7

Cited by 59 publications

(28 citation statements)

References 13 publications

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“…It tends to be very patient-specific and depends on the treating surgeon's recommendations (35). Similar to the players treated in our study, the decision to perform an injection depended on the treating spine surgeon's judgment, based on such factors as when in the season the injury occurred, the player's anatomic distribution of symptoms, and the player's physical examination, focusing on any leg weakness.…”

Section: Discussionmentioning

confidence: 82%

Epidural Steroid Injection for Lumbar Disc Herniation in NFL Athletes

Krych

Richman

Drakos

et al. 2012

Medicine &Amp; Science in Sports &Amp; Exercise

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Section: Discussionmentioning

confidence: 82%

Epidural Steroid Injection for Lumbar Disc Herniation in NFL Athletes

Krych

Richman

Drakos

et al. 2012

Medicine &Amp; Science in Sports &Amp; Exercise

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“…No differences in power ratings were found pre to postsurgery, and 53% (9 of 17) had higher power ratings postsurgery 37. One study found that 88% (15 of 17) athletes with initial post-surgical neurological deficits regained full neurological function 35. Other findings were that disc level operated on did not affect time to RTS36 and 80% improvement in JOA, as well as improvement in all subscales of the SF-36 postsurgically 29…”

Section: Resultsmentioning

confidence: 99%

“…The time ranged from 5.235 to 8.7 months30 among professional athletes. Non-professional athletes RTS time ranged from 7.5 weeks33 to 6 months 34.…”

Section: Discussionmentioning

confidence: 99%

Return to sport after open and microdiscectomy surgery versus conservative treatment for lumbar disc herniation: a systematic review with meta-analysis

et al. 2015

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Background Lumbar disc herniation has a prevalence of up to 58% in the athletic population. Lumbar discectomy is a common surgical procedure to alleviate pain and disability in athletes. We systematically reviewed the current clinical evidence regarding athlete return to sport (RTS) following lumbar discectomy compared to conservative treatment. Methods A computer-assisted literature search of MEDLINE, CINAHL, Web of Science, PEDro, OVID and PubMed databases (from inception to August 2015) was utilised using keywords related to lumbar disc herniation and surgery. The design of this systematic review was developed using the guidelines of the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA). Methodological quality of individual studies was assessed using the Downs and Black scale (0-16 points). Results The search strategy revealed 14 articles. Downs and Black quality scores were generally low with no articles in this review earning a high-quality rating, only 5 articles earning a moderate quality rating and 9 of the 14 articles earning a low-quality rating. The pooled RTS for surgical intervention of all included studies was 81% (95% CI 76% to 86%) with significant heterogeneity (I 2 =63.4%, p<0.001) although pooled estimates report only 59% RTS at same level. Pooled analysis showed no difference in RTS rate between surgical (84% (95% CI 77% to 90%)) and conservative intervention (76% (95% CI 56% to 92%); p=0.33). Conclusions Studies comparing surgical versus conservative treatment found no significant difference between groups regarding RTS. Not all athletes that RTS return at the level of participation they performed at prior to surgery. Owing to the heterogeneity and low methodological quality of included studies, rates of RTS cannot be accurately determined.

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“…When required, discectomy procedures are well tolerated by athletes. 6 If patients are pain free, there appears to be no contraindication to their returning to contact sports after discectomy. For athletes, as for other patients, a regimen of stretching and strengthening the abdominal and back muscles is a crucial aspect of the recovery process.…”

Section: Lumbar Injuriesmentioning

confidence: 99%