Di Monaco Giuliano, Mazzucchi Edoardo, Pignotti Fabrizio, La Rocca Giuseppe, Sabatino Giovanni
Unit of Neurosurgery, Mater Olbia Hospital, 07026 Olbia, Italy.
Institute of Neurosurgery, IRCCS Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, 00168 Rome, Italy.
J Pers Med. 2022 Dec 20;13(1):3. doi: 10.3390/jpm13010003.
Cervical spine injuries are considered common in athlete populations, especially in those involved in high-contact sports. In some cases, surgical treatment can be necessary, and, therefore, return-to-play (RTP) after surgery represent a notable issue. We performed a systematic review of literature according to the PRISMA statement guidelines using the following search algorithm: (("ACDF") OR ("cervical spine surgery") OR ("neck surgery") OR ("cervical discectomy") OR ("foraminotomy") OR ("cervical disc replacement")) AND (("return to play") OR ("athlete") OR ("contact sports") OR ("martial arts")). The search was performed on 21 October 2022. We included only articles in which operative treatment for the cervical spine was performed and return to martial art activity was declared in the text. Eight articles were selected, including 23 athletes who practice wrestling ( 16), kickboxing ( = 1), sumo ( = 1) or other unspecified martial arts ( = 5). We also included the case of a young judoka who underwent anterior cervical discectomy and fusion (ACDF) at our hospital. About 88% (21 of 24 cases) of martial arts practitioners returned to play after cervical spine surgery, and no major complications were reported after RTP. Four patients (16.7%) returned in 0-3 months; 41.7% (10 of 24) returned in 3-6 months; 29.2% (7 of 24) returned after a period longer than 6 months. ACDF is the most used procedure. The level of evidence in the included articles is low: only case reports are available, including some single-case studies. Moreover, a small number of cases have been reported, and the examined data are very heterogeneous. Return to martial arts within one year after cervical spine surgery is generally safe, even if case-by-case evaluation is, however, necessary. Further studies are necessary to corroborate the present findings in a larger population.
颈椎损伤在运动员群体中较为常见，尤其是在那些参与高对抗性运动的运动员中。在某些情况下，可能需要进行手术治疗，因此，术后重返赛场是一个值得关注的问题。我们按照PRISMA声明指南，使用以下搜索算法对文献进行了系统回顾：(("ACDF") 或 ("颈椎手术") 或 ("颈部手术") 或 ("颈椎间盘切除术") 或 ("椎间孔切开术") 或 ("颈椎间盘置换术")) 且 (("重返赛场") 或 ("运动员") 或 ("对抗性运动") 或 ("武术"))。搜索于2022年10月21日进行。我们仅纳入了那些对颈椎进行了手术治疗且文中声明重返武术活动的文章。共筛选出8篇文章，包括23名从事摔跤（n = 16）、踢拳（n = 1）、相扑（n = 1）或其他未明确的武术项目（n = 5）的运动员。我们还纳入了一名在我院接受颈椎前路椎间盘切除融合术（ACDF）的年轻柔道运动员的病例。约88%（24例中的21例）武术从业者在颈椎手术后重返赛场，且重返赛场后未报告重大并发症。4名患者（16.7%）在0 - 3个月内重返赛场；41.7%（24例中的10例）在3 - 6个月内重返赛场；29.2%（24例中的7例）在6个月以上的时间后重返赛场。ACDF是最常用的手术方式。纳入文章的证据水平较低：仅有病例报告，包括一些单病例研究。此外，报告的病例数量较少，且所检查的数据非常异质。颈椎手术后一年内重返武术运动通常是安全的，不过仍需要逐例评估。需要进一步研究以在更大规模人群中证实目前的研究结果。
