Revista de Medicina Desportiva (English) July 2018 - Page 20

patients had mobile and painless cervical spine. Currently, there is not enough sci- entific evidence regarding the type and level of intensity for sports prac- tice that should be recommended or avoided after disc arthroplasty in order not to affect the artificial joint survival. 5 None of the existing stud- ies have sufficient follow-up time to be able to conclude about the effects of the physical exercise on the disc prostheses. The goal is to find a balance that guarantees the ben- efits of physical activity, while not significantly affecting the duration of arthroplasty. 34,36 Current general recommendations The current absence of randomized prospective large studies regarding the assessment of discs arthroplasties survival leads to the actual decision about sports practice in these patients is only based on experts opinion, with a low level of scientific evidence. 3,34 The key is to analyze case by case, to discuss preoperatively the patient’s goals and expectations and to have proper surgical and rehabilitation treatments that enable them to adjust them to the final results. 35,38,50,51 Patients should be encouraged to remain physically active, but those who wish to play high-impact, contact or high-level competition sports should be informed about and understand the risks theoretically associated with this practice, specially about migration and implant wear, with consequent need of an early revi- sion surgery. The decision to practise a particular sport must belong to the patient, after well informed weighting about risks and benefits. 34,38,42,43,50 In addition, these patients must have a frequent clinical-radiological control of their disc arthroplasty in order to detect and to act early over the complications that may arise. 38 There is a need for long-term, multi-centric prospective studies with a greater number of patients, in order to be able to identify the risks of physical activ- ity on the disc prosthesis. 3 The authors declare that there is no con- flict of interest. Correspondence dflmoura@gmail.com 18 july 2018 www.revdesportiva.pt Bibliography 1. Auerbach JD, Anakwenze OA, Milby AH, Lonner BS, Balderston RA. Segmental contribution toward total cervical range of motion: a comparison of cervical disc arthroplasty and fusion. Spine (Phila Pa 1976). 2011 Dec 1;36(25):E1593-9. 2. Büttner-Janz K, Guyer RD, Ohnmeiss DD. Indications for Lumbar Total Disc Replacement: Selecting the Right Patient with the Right Indication for the Right Total Disc. International Journal of Spine Surgery. 2014;8:12. 3. Siepe CJ, Wiechert K, Khattab MF, Korge A, Mayer HM. Total lumbar disc replacement in athletes: clinical results, return to sport and athletic performance. Euro- pean Spine Journal. 2007;16(7):1001-1013. 4. 4 – Huang RC, Lim MR, Girardi FP, Cammisa FP., Jr The prevalence of contraindications to total disc replace- ment in a cohort of lumbar surgical patients. Spine. 2004;29:2538–2541. 5. Tumialán LM, Ponton RP, Garvin A, Gluf WM. Arthroplasty in the military: a preliminary experience with ProDisc-C and ProDisc-L. Neurosurg Focus. 2010 May;28(5):E18. 6. Blumenthal S, McAfee PC, Guyer RD, Hochschu- ler SH, Geisler FH, Holt RT, Garcia R Jr, Regan JJ, Ohnmeiss DD (2005) A prospective, randomized, multicenter Food and Drug Administration investiga- tional device exemptions study of lumbar total disc replacement with the CHARITE artificial disc versus lumbar fusion: part I: evaluation of clinical outcomes. Spine 30:1565–1575; discussion E1387–E1591. 7. Delamarter RB, Fribourg DM, Kanim LE, Bae H. ProDisc artificial total lumbar disc replacement: intro- duction and early results from the United States clinical trial. Spine. 2003;28:S167–S175. 8. Zigler JE. Clinical results with ProDisc: European expe- rience and U.S. investigation device exemption study. Spine. 2003;28:S163–S166. 9. Cinotti G, David T, Postacchini F. Results of disc prosthesis after a minimum follow-up period of 2 years. Spine. 1996;21:995–1000. 10. Guyer RD, Ohnmeiss DD. Intervertebral disc prosthe- ses. Spine. 2003;28:S15–S23. 11. Gao F, Mao T, Sun W, Guo W, Wang Y, Li Z, Abhinav P. An Updated Meta-Analysis Comparing Artificial Cervical Disc Arthroplasty (CDA) Versus Anterior Cer- vical Discectomy and Fusion (ACDF) for the Treatment of Cervical Degenerative Disc Disease (CDDD). Spine (Phila Pa 1976). 2015 Dec;40(23):1816-23. 12. Luo J, Huang S, Gong M, Dai X, Gao M, Yu T, Zhou Z, Zou X. Comparison of artificial cervical arthroplasty versus anterior cervical discectomy and fusion for one- -level cervical degenerative disc disease: a meta-analy- sis of randomized controlled trials. Eur J Orthop Surg Traumatol (2015) 25 (Suppl 1):S115–S125. 13. Buckland AJ, Baker JF, Roach RP, Spivak JM. Cervical disc replacement – emerging equivalency to anterior cervical discectomy and fusion. Int Orthop. 2016 Jun;40(6):1329-34. 14. Alvin MD, Mroz TE. The Mobi-C cervical disc for one- -level and two-level cervical disc replacement: a review of the literature. Medical Devices (Auckland, NZ). 2014;7:397-403. 15. Ren C, Song Y, Xue Y, Yang X. Mid – to long-term out- comes after cervical disc arthroplasty compared with anterior discectomy and fusion: a systematic review and meta-analysis of randomized controlled trials. Eur Spine J. 2014 23:1115–1123. 16. Bertagnoli R, Yue JJ, Kershaw T, Shah RV, Pfeiffer F, Fenk Mayer A, et al. Lumbar total disc arthro- plasty utilizing the ProDisc prosthesis in smokers versus nonsmokers: a prospective study with 2-year minimum follow-up. Spine (Phi la Pa 1976). 2006 Apr 20;31(9):992-7. 17. Bertagnoli R, Yue JJ, Pfeiffer F, Fenk-Mayer A, Lawrence JP, Kershaw T, et al. Early results after ProDisc-C cervical disc replacement. J Neurosurg Spine. 2005 Apr;2(4):403-10. 18. Chung SS, Lee CS, Kang CS. Lumbar total disc replacement using ProDisc II: a prospective study with a 2-year minimum follow-up. J Spinal Disord Tech. 2006 Aug;19(6):411-5. 19. Guyer RD, McAfee PC, Hochschuler SH, Blumen- thal SL, Fedder IL, Ohnmeiss DD, Cunningham BW. Prospective randomized study of the Charite artificial disc: data from two investigational centers. Spine J. 2004 Nov-Dec;4(6 Suppl):252S-259S. 20. Mummaneni PV, Burkus JK, Haid RW, Traynelis VC, Zdeblick TA. Clinical and radiographic analysis of cer- vical disc arthroplasty compared with allograft fusion: a randomized controlled clinical trial. J Neurosurg Spine. 2007 Mar;6(3):198-209. 21. Murrey D, Janssen M, Delamarter R, Goldstein J, Zigler J, Tay B, et al. Results of the prospective, randomized, controlled multicenter Food and Drug Administration investigational device exemption study of the ProDisc-C total disc replacement versus anterior discectomy and fusion for the treatment of 1-level symptomatic cervical disc disease. Spine J. 2009 Apr;9(4):275-86. 22. Sasso RC, Smucker JD, Hacker RJ, Heller JG: Artifi- cial disc versus fusion: a prospective, randomized study with 2-year follow-up on 99 patients. Spine (Phila Pa 1976). 2007 Dec 15;32(26):2933-40; discussion 2941-2. 23. Zigler J, Delamarter R, Spivak JM, Linovitz RJ, Danielson GO III, Haider TT, et al. Results of the prospective, randomized, multicenter Food and Drug Administration investigational device exemption study of the ProDisc-L total disc replacement versus circumferential fusion for the treatment of 1-level degenerative disc disease. Spine (Phila Pa 1976). 2007 May 15;32(11):1155-62; discussion 1163. 24. Guyer RD, McAfee PC, Banco RJ, Bitan FD, Cappuccino A, Geisler FH, Hochschuler SH, et al. Prospective, randomized, multicenter Food and Drug Administration investigational device exemption study of lumbar total disc replacement with the CHARITE artificial disc versus lumbar fusion: five-year follow-up. Spine J. 2009 May;9(5):374-86. 25. McAfee PC, Cunningham B, Holsapple G, Adams K, Blumenthal S, Guyer RD, Dmietriev A, Maxwell JH, Regan JJ, Isaza J. A prospective, randomized, multicenter Food and Drug Administration investi- gational device exemption study of lumbar total disc replacement with the CHARITE artificial disc versus lumbar fusion: part II: evaluation of radiographic outcomes and correlation of surgical technique accuracy with clinical outcomes. Spine (Phila Pa 1976). 2005 Jul 15;30(14):1576-83; discussion E388-90. 26. Sasso RC, Smucker JD, Hacker RJ, Heller JG. Clinical outcomes of BRYAN cervical disc arthroplasty: a prospective, randomized, controlled, multicenter trial with 24-month follow-up. J Spinal Disord Tech. 2007 Oct;20(7):481-91. 27. Cunningham BW, McAfee PC, Geisler FH, Holsap- ple G, Adams K, Blumenthal SL, et al. Distribution of in vivo and in vitro range of motion following 1-level arthroplasty with the CHARITE artificial disc compared with fusion. J Neurosurg Spine. 2008 Jan;8(1):7-12. 28. Hilibrand AS, Robbins M. Adjacent segment degene- ration and adjacent segment disease: the consequen- ces of spinal fusion? Spine J. 2004 Nov-Dec;4(6 Suppl):190S-194S. 29. McCormick PC. The adjacent segment. J Neurosurg Spine. 2007 Jan;6(1):1-4; discussion 4. 30. Boselie TF, Willems PC, van Mameren H, de Bie R, Benzel EC, van Santbrink H. Arthroplasty versus fusion in single-level cervical degenerative disc disease. Cochrane Database Syst Rev. 2012 Sep 12;(9):CD009173. 31. Fransen P, Schils F. Résultats à long terme de l’arthroplastie cervicale par prothèse de disque Revue de la littérature. Rev Med Liege 2014, 69(7-8),428-433. 32. Jacobs WC, van der Gaag NA, Kruyt MC, Tuschel A, de Kleuver M, Peul WC, Verbout AJ, Oner FC. Total disc replacement for chronic discogenic low back pain: a Cochrane review. Spine (Phila Pa 1976). 2013 Jan 1;38(1):24-36. 33. http://www.neurowave.pt/en/produtos/m6l 34. Healy WL, Sharma S, Schwartz B, Iorio R. Athletic activity after total joint arthroplasty. J Bone Joint Surg Am. 2008 Oct;90(10):2245-52. 35. Kuster MS. Exercise recommendations after total joint replacement: a review of the current literature and proposal of scientifically based guidelines. Sports Med. 2002;32(7):433-45. 36. Moura D, Figueiredo A, Reis e Reis A, Fonseca F. Prática Desportiva e Artroplastias da Anca, Joelho e Ombro. Rev. Medicina Desportiva informa, 2016. 37. Laupacis A, Bourne R, Rorabeck C, Feeny D, Wong C, Tugwell P, Leslie K, Bullas R. The effect of elective total hip replacement on health-related quality of life. J Bone Joint Surg Am. 1993;75:1619-26. 38. McGrory BJ, Stuart MJ, Sim FH. Participation in sports after hip and knee arthroplasty: review of literature and survey of surgeon preferences. Mayo Clin Proc. 1995;70:342-8. 39. Weiss JM, Noble PC, Conditt MA, Kohl HW, Roberts S, Cook KF, Gordon MJ, Mathis KB. What functional activities are important to patients with knee replace- ments? Clin Orthop Relat Res. 2002;404:172-88. 40. Dauty M, Letenneur J. Sports participation after joint arthroplasty. Ann Readapt Med Phys. 2007 Dec;50(9):709-15. 41. Kilgus DJ, Dorey FJ, Finerman GA, Amstutz HA. Patient activity, sport participation and impact loading on the durability of cemented total hip replacements. Clin. Orth. 1991; 269: 25–31. 42. Vogel LA, Carotenuto G, Basti JJ, Levine WN. Physical activity after total joint arthroplasty. Sports Health. 2011 Sep;3(5):441-50. 43. Healy WL, Iorio R, Lemos MJ. Athletic activity after joint replacement. Am J Sports Med. 2001 May- -Jun;29(3):377-88. 44. Ledet EH, Sachs BL, Brunski JB, Gatto CE, Donzelli PS. Real-time in vivo loading in the lumbar spine: part 1. Interbody implant: load cell design and preliminary results. Spine (Phila Pa 1976). 2000 Oct 15;25(20):2595-600. 45. Wilke H, Neef P, Hinz B, Seidel H, Claes L. Intradis- cal pressure together with anthropometric data a dat a set for the validation of models. Clin Biomech (Bristol, Avon). 2001;16 Suppl 1:S111-26. 46. McAfee PC. The indications for lumbar and cervical disc replacement. Spine J. 2004 Nov-Dec;4(6 Suppl):177S-181S. 47. Singh K, Vaccaro AR, Albert TJ. Assessing the poten- tial impact of total disc arthroplasty on surgeon practice patterns in North America. Spine J 4 (6 Suppl):195S– –201S, 2004. 48. Tropiano P, Huang RC, Girardi FP, Cammisa FP, Jr, Marnay T. Lumbar total disc replacement. Seven to eleven-year follow-up. J Bone Joint Surg Am. 2005;87- A:490–496. 49. German Society of Neurosurgery. Cervical spine – sports performance despite artificial disc. Sportverletz Sportschaden. 2012 Sep;26(3):140. 50. Bauman S, Williams D, Petruccelli D, Elliott W, de Beer J. Physical activity after total joint replacement: a cross-sectional survey. Clin J Sport Med. 2007 Mar;17(2):104-8. 51. Clifford PE, Mallon WJ. Sports after total joint replace- ment. Clin Sports Med. 2005 Jan;24(1):175-86.