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PMID- 28894685
DA  - 20170912
LR  - 20170914
IS  - 2192-5682 (Print)
IS  - 2192-5682 (Linking)
VI  - 7
IP  - 6
DP  - 2017 Sep
TI  - Return to Play in Elite Contact Athletes After Anterior Cervical Discectomy and
      Fusion: A Meta-Analysis.
PG  - 552-559
LID - 10.1177/2192568217700112 [doi]
AB  - STUDY DESIGN: Systematic literature review and meta-analysis of studies published
      in English language. OBJECTIVE: 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. METHODS:
      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 Q
      statistic and I2. Sensitivity analysis and publication bias calculations were
      performed. RESULTS: 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 (P = .008). The studies included in
      this meta-analysis demonstrated minimal heterogeneity with Q value of 4.038 and
      I2 value of 0.956. CONCLUSIONS: 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.
FAU - McAnany, Steven J
AU  - McAnany SJ
AD  - Mount Sinai Medical Center, New York, NY, USA.
FAU - Overley, Samuel
AU  - Overley S
AD  - Mount Sinai Medical Center, New York, NY, USA.
FAU - Andelman, Steven
AU  - Andelman S
AD  - Mount Sinai Medical Center, New York, NY, USA.
FAU - Patterson, Diana C
AU  - Patterson DC
AD  - Mount Sinai Medical Center, New York, NY, USA.
FAU - Cho, Samuel K
AU  - Cho SK
AD  - Mount Sinai Medical Center, New York, NY, USA.
FAU - Qureshi, Sheeraz
AU  - Qureshi S
AD  - Mount Sinai Medical Center, New York, NY, USA.
FAU - Hsu, Wellington K
AU  - Hsu WK
AD  - Northwestern University, Chicago, IL, USA.
FAU - Hecht, Andrew C
AU  - Hecht AC
AD  - Mount Sinai Medical Center, New York, NY, USA.
LA  - eng
PT  - Journal Article
DEP - 20170516
PL  - England
TA  - Global Spine J
JT  - Global spine journal
JID - 101596156
PMC - PMC5582714
OT  - anterior cervical discectomy and fusion (ACDF)
OT  - cervical spine injury
OT  - contact athletes
OT  - elite athletes
OT  - meta-analysis
OT  - return to play
OT  - systematic review
COI - Declaration of Conflicting Interests: The author(s) declared no potential
      conflicts of interest with respect to the research, authorship, and/or
      publication of this article.
EDAT- 2017/09/13 06:00
MHDA- 2017/09/13 06:01
CRDT- 2017/09/13 06:00
AID - 10.1177/2192568217700112 [doi]
AID - 10.1177_2192568217700112 [pii]
PST - ppublish
SO  - Global Spine J. 2017 Sep;7(6):552-559. doi: 10.1177/2192568217700112. Epub 2017
      May 16.