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
[email protected]
18 july 2018 www.revdesportiva.pt
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