McAnany Steven J, Overley Samuel, Andelman Steven, Patterson Diana C, Cho Samuel K, Qureshi Sheeraz, Hsu Wellington K, Hecht Andrew C
Mount Sinai Medical Center, New York, NY, USA.
Northwestern University, Chicago, IL, USA.
Global Spine J. 2017 Sep;7(6):552-559. doi: 10.1177/2192568217700112. Epub 2017 May 16.
Systematic literature review and meta-analysis of studies published in English language.
Return to play after anterior cervical discectomy and fusion (ACDF) in contact athletes remains a controversial topic with no consensus opinion in the literature. Additional information is needed to properly advise and treat this population of patients. This study is a meta-analysis assessing return to competitive contact sports after undergoing an ACDF.
A literature search of Medline, Embase, and Cochrane Reviews was performed to identify investigations reporting return to play following ACDF in professional contact athletes. The pooled results were performed by calculating the effect size based on the logic event rate. Studies were weighted by the inverse of the variance, which included both within and between-study error. Confidence intervals (CIs) were reported at 95%. Heterogeneity was assessed using the statistic and . Sensitivity analysis and publication bias calculations were performed.
The initial literature search resulted in 166 articles, of which 5 were determined relevant. Overall, return to play data was provided for 48 patients. The pooled clinical success rate for return to play was 73.5% (CI = 56.7%, 85.8%). The logit event rate was calculated to be 1.036 (CI = 0.270, 1.802), which was statistically significant ( = .008). The studies included in this meta-analysis demonstrated minimal heterogeneity with value of 4.038 and value of 0.956.
Elite contact athletes return to competition 73.5% of the time after undergoing ACDF. As this is the first study to pool results from existing studies, it provides strong evidence to guide decision making and expectations in this patient population.
对以英文发表的研究进行系统文献综述和荟萃分析。
对于从事接触性运动的运动员，颈椎前路椎间盘切除融合术（ACDF）后恢复运动仍是一个有争议的话题，文献中尚无共识性意见。需要更多信息来对这类患者进行恰当的建议和治疗。本研究是一项荟萃分析，评估ACDF术后恢复竞技性接触性运动的情况。
对Medline、Embase和Cochrane综述进行文献检索，以确定报告职业接触性运动员ACDF术后恢复运动情况的研究。通过基于逻辑事件率计算效应量来汇总结果。研究采用方差倒数加权，其中包括研究内和研究间误差。报告95%的置信区间（CI）。使用统计量和评估异质性。进行敏感性分析和发表偏倚计算。
初步文献检索得到166篇文章，其中5篇被确定为相关文章。总体而言，为48例患者提供了恢复运动的数据。恢复运动的汇总临床成功率为73.5%（CI = 56.7%，85.8%）。计算得出逻辑事件率为1.036（CI = 0.270，1.802），具有统计学意义（= 0.008）。本荟萃分析纳入的研究显示异质性极小，值为4.038，值为0.956。
精英接触性运动员在接受ACDF术后73.5%的时间能恢复比赛。由于这是第一项汇总现有研究结果的研究，它为指导该患者群体的决策和预期提供了有力证据。
