Despite the increasing popularity of total lumbar disc replacement (TDR) in predominantly young and active @entity1 , no previous study has addressed possibilities, limitations and potential risks regarding @entity2587 performance following TDR. Mechanical concerns remain and the implant's resilience as regards its load-bearing capacity during sporting activities is unknown. Thirty-nine @entity2587 @entity1 fulfilled the inclusion criteria for this study. These @entity1 participated in a large variety of different types of sport. Significant and lasting @entity158 was attained following TDR with a mean follow-up of 26.3 months (range 9-50.7 months; FU rate 97.4%). Sporting activity was resumed within the first 3 months (38.5%) to 6 months (30.7%) with peak performance being reached after 5.2 months. Thirty-seven @entity1 (94.9%) achieved resumption of sporting activity. Athletic performance improved significantly in 33 @entity1 (84.6%). Minor subsidence was observed in 13 @entity1 (30%) within the first 3 months with no further implant migration thereafter in 12 @entity1 . Participation in all types of sport recorded in this study was accessible for a high rate of @entity1 up to the level of professional athletes as well as those participating in extreme sports. Preoperative participation in sport proved to be a strong positive predictor for highly satisfactory postoperative outcome following TDR. In a selected group of @entity1 , however, preoperative inability to participate in sporting activities did not impair postoperative physical activity. Due to the young age of the @entity1 and significant load increase exerted during @entity2587 activities, persisting concerns regarding the future behaviour of the implant remain and will require longer follow-up, modified investigation techniques and larger @entity1 cohorts.

Total lumbar disc replacement in athletes: clinical results, return to sport and XXXX performance.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain-relief'] @entity2587 :: ('MESH:D001265', 'Disease') :: ['athletic']
@entity2587 :: (MESH:D001265,Disease) :: ['athletic']
