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After cervical spine fusion surgery pro athletes can resume careers

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Most professional athletes are able to return to competition within a year after vertebral fusion surgery on the upper (cervical) spine, reports a study in the July issue of Neurosurgery, official journal of the Congress of Neurological Surgeons. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health...

As per a research published in the July edition of Neurosurgery, the official journal of the Congress of Neurological Surgeons, the majority of professional athletes may resume their competitive activities within a year following upper cervical vertebral fusion surgery. Lippincott Williams & Wilkins, a division of Wolters Kluwer Health, publishes the journal.

Treatment differences between individuals with mild head injuries treated in the emergency department (ED) and those seen in a doctor's office are discovered by another study published in the July Neurosurgery. The growing significance of philanthropy support for neurosurgical research and program creation is covered in a third study.


After Cervical Spinal Fusion, When Can Professional Athletes Resume Play?

The results and course of therapy of anterior cervical discectomy and fusion (ACDF), a form of cervical spinal fusion surgery, were examined in 15 professional athletes by Dr. Joseph C. Maroon of the University of Pittsburgh Medical Center and associates. The criteria for recommending return-to-play (RTP) were the main focus of the study.

Eight football players and seven wrestlers made up the patient group. Following a normal neurological assessment and x-rays demonstrating spinal fusion, all were cleared for RTP. Thirteen athletes went back to competing in their sport in a time frame of two to twelve months, with an average RTP of six months. Five competitors retired after competing for an additional one to three years, leaving eight athletes still competing.

"After a single-level ACDF, an athlete may return to contact sports if there are normal findings on a neurological examination, full range of neck movement, and arthrodesis," the researchers write. They point out that athletes having ACDF can be vulnerable to degeneration or illness of the spine in the future, either at the level above or below the vertebral fusion.


Different Approaches to Treating Small Head Traumas

Children's Hospital Boston's Dr. Rebekah Mannix and colleagues examined national data on almost 10 million visits to doctors for minor head injuries from 2005 to 2009. Of these, 4 million were in "outpatient" settings, such as hospital-based clinics or doctor's offices, while around 6 million were in emergency departments.

Patients treated in emergency departments (EDs) were more likely to get advanced imaging tests (CT or MRI scans): 63% of them, as opposed to 14% in doctor's offices and 21% at hospital clinics. In physician offices, 54% of patients had a scheduled follow-up appointment, but in hospital clinics, 29% of patients had one. Of patients examined in EDs, 67% had follow-up care arrangements arranged.

The study demonstrates differences in care, but it does not allow for the determination of the optimal kind of care. Dr. Mannix and coauthors urge more research on how various treatment approaches impact results and the natural healing process following mild head trauma.

Funding for Neurosurgery Research Through Philanthropy

Dr. Edie E. Zusman of the Sutter East Bay Neuroscience Institute in Castro Valley, California, together with associates, tackle the changing function of charitable financing in neurosurgical research and program creation in a special publication. Historically, government and corporate funding has supported these endeavors; but, with their depletion, philanthropy has emerged as "an increasingly important mechanism for building, maintaining, and expanding neurosurgical research programs."

The writers go over various innovative methods of securing funding for research, such "venture philanthropy" and establishing partnerships with nonprofit organizations. Along with "grateful patients," the researchers report that "[C]ollaborations with health organizations, foundations, venture capitalists, and industry can also help to build the research, training, and clinical programs necessary to improve patients' lives."
 
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