Tapper Question for 'Zone Doctors

[Seven]

Lawrence, not Ware. But him, too.

Gotcha..........

 

[Pessimist_cowboy]

He will never play for the Cowboys .

 

[Seven]

He will never play for the Cowboys .

He'll more than likely not play for anyone.

 

[LittleD]

He might could add weight after surgery and play at the DT position. I doubt he will have
the explosive moves and bend to play DE in a Marinelli scheme ever again.

 

[Doc50]

FWIW -
They had a Dlineman on the radio, 104.3 The Fan, and he stated that he knew of no athlete, with a back injury, that ever really recovers from it and is 100% again.

He stated that JJ Watts career will never be the same with the back injury. He clearly said the JJ Watt era is over.

He's no doctor but front line experience, I guess.

Yeah, that's really just anecdotal evidence from a small sample size; not worth anything for statistical predictability.

Every injury is different, and very similar injuries may still respond differently to surgery and/or healing.

 

[Maxmadden]

He would have about a 25% chance of returning to elite status: 40% chance of being a role player for a few years.

This could have been in injury in his adolescence, but he recalls no specific incident; certainly could have been a developmental anomaly.
Would have been much better for him to get this repaired years ago, but that would have also possibly stunted his career growth.

I hate it for the young man and for the team, but I would never count out an elite athlete to be that guy who proves everybody wrong.

How can you sit there and say any of this? What kind of doctor are you?

Maybe you worked hard to get where you are, but you are spouting out numbers like you know something. The fact is, you don't have any more information on his personal injury than the rest of us, but you are willing to throw out percentages as if you somehow know something the rest of us don't. You don't have any medical information to base you opinion on, yet you are willing to offer a prognosis with percentages?

I appreciate your contributions to the board but how can a doctor offer any objective medical opinion, without any medical information to base it on?

 

[Fla Cowpoke]

Stenosis can be anywhere in the spine. The location of Irvin's made him more likely to have a spinal injury that could made him a quad. It is something that would have been seen in a simple cervical x-ray.

It is something completely different than what Tapper has.

 

[Fla Cowpoke]

How can you sit there and say any of this? What kind of doctor are you?

Maybe you worked hard to get where you are, but you are spouting out numbers like you know something. The fact is, you don't have any more information on his personal injury than the rest of us, but you are willing to throw out percentages as if you somehow know something the rest of us don't. You don't have any medical information to base you opinion on, yet you are willing to offer a prognosis with percentages?

I appreciate your contributions to the board but how can a doctor offer any objective medical opinion, without any medical information to base it on?

The statistics and generalities are pretty easy to find with this amazing new tool called Google search. Then, any doctor with experience can make observations. Dr Cho does this all the time on a national level. You don't have to have all the diagnostics to make a general statement about a given injury.

 

[Doc50]

How can you sit there and say any of this? What kind of doctor are you?

Maybe you worked hard to get where you are, but you are spouting out numbers like you know something. The fact is, you don't have any more information on his personal injury than the rest of us, but you are willing to throw out percentages as if you somehow know something the rest of us don't. You don't have any medical information to base you opinion on, yet you are willing to offer a prognosis with percentages?

I appreciate your contributions to the board but how can a doctor offer any objective medical opinion, without any medical information to base it on?

I think it is you who should question your audacity on this topic, that has specific medical approaches to repair, accompanied by rigorous medical monitoring in order to derive statistical data to influence case management options in the future.

Many thousands of spondylolysis cases have been treated and monitored over the past 50 years. Mainstream medicine doesn't arrive at treatment strategies on a whim. Cases with the greatest similarities are analyzed for outcome variabilities in order to constantly evolve the best treatment strategies. Publication of such data is second nature in these study groups, and then that has to stand the scrutiny of other experts.

I don't know what field you work in, but mine is based on science, constantly evolving.
BTW, I've done nearly 200 clinical trials in the last 20 years alone; your assumption may have been a bit uninformed.

 

[boysfanindc]

How can you sit there and say any of this? What kind of doctor are you?

Maybe you worked hard to get where you are, but you are spouting out numbers like you know something. The fact is, you don't have any more information on his personal injury than the rest of us, but you are willing to throw out percentages as if you somehow know something the rest of us don't. You don't have any medical information to base you opinion on, yet you are willing to offer a prognosis with percentages?

I appreciate your contributions to the board but how can a doctor offer any objective medical opinion, without any medical information to base it on?

To be fair I asked him the question with the caveat that he did not have any of the detailed film or MRI's and was just asking in general about prognosis with this condition.

 

[Maxmadden]

I think it is you who should question your audacity on this topic, that has specific medical approaches to repair, accompanied by rigorous medical monitoring in order to derive statistical data to influence case management options in the future.

Many thousands of spondylolysis cases have been treated and monitored over the past 50 years. Mainstream medicine doesn't arrive at treatment strategies on a whim. Cases with the greatest similarities are analyzed for outcome variabilities in order to constantly evolve the best treatment strategies. Publication of such data is second nature in these study groups, and then that has to stand the scrutiny of other experts.

I don't know what field you work in, but mine is based on science, constantly evolving.
BTW, I've done nearly 200 clinical trials in the last 20 years alone; your assumption may have been a bit uninformed.

Not questioning your credentials. Only, why you would offer a detailed prognosis when you have absolutely nothing but other cases to base it on. My audacity stems from the fact that you don't have any factual information on his personal condition than I do.

 

[Doc50]

Not questioning your credentials. Only, why you would offer a detailed prognosis when you have absolutely nothing but other cases to base it on. My audacity stems from the fact that you don't have any factual information on his personal condition than I do.

My post indicated that you are incorrect; there is an abundance data on outcomes of treatment of pars defects, and some of the most important is on athletes and treatment options that may extend their careers.

Why don't you look that up, and then get back to me?

In the meantime, I will not be insulting you.

 

[JJHLH1]

Stenosis can be anywhere in the spine. The location of Irvin's made him more likely to have a spinal injury that could made him a quad. It is something that would have been seen in a simple cervical x-ray.

It is something completely different than what Tapper has.

It is extremely difficult to diagnose cervical stenosis with plain x-rays. That usually requires a three dimensional imaging modality such as an MRI or cervical myelogram to see the relation of the spinal cord (which is not visible on plain films) to the spinal canal.

Tapper's injury, on the other hand, involves a defect in the bone and therefore would be visible on lumbar spine x-rays, particularly oblique views which show the pars interarticularis better. The degree of anterolisthesis (forward sliding of one vertebral body in relation to another) is also easily seen on a lateral film.

 

[links18]

Can that kind of defect result from AS (Ankylosing Spondylitis)?

 

[Maxmadden]

My post indicated that you are incorrect; there is an abundance data on outcomes of treatment of pars defects, and some of the most important is on athletes and treatment options that may extend their careers.

Why don't you look that up, and then get back to me?

In the meantime, I will not be insulting you.

METHODS: PubMed was used to perform a search of the literature for studies published during the period from 1990 to 2009 that reported data on the outcome of conservative or surgical treatment of spondylolysis in athletes. The articles were examined for data on the percentage of athletes who returned to sports activities and the interval between the start of treatment and their return.

RESULTS: Five studies were identified. Two studies were concerned with conservative treatment and the other three with surgical treatment (wire fixation or screw fixation with bone graft). The percentages of athletes who returned to sports activities ranged from 80.0% to 89.3% and from 81.9% to 100%, respectively, and the intervals until their return ranged from 5.4 to 5.5 mo and from 7 to 12 mo, respectively.

CONCLUSION: The percentages of athletes who returned to sports activities after conservative and surgical treatment appeared to be satisfactory, but the interval until their return to sports activities was longer after surgery than after conservative treatment.

 

[JJHLH1]

Can that kind of defect result from AS (Ankylosing Spondylitis)?

No. A pars defect is likely developmental or the result of a stress fracture in adolescence.

Anyklosisng Spondylitis is an inflammatory condition that can lead to fusion of the spine in severe cases. There is an overgrowth of bone. This condition has a genetic component (HLA-B27 gene)

 

[links18]

No. A pars defect is likely developmental or the result of a stress fracture in adolescence.

Anyklosisng Spondylitis is an inflammatory condition that can lead to fusion of the spine in severe cases. There is an overgrowth of bone. This condition has a genetic component (HLA-B27 gene)

OK, thanks!

 

[Doc50]

METHODS: PubMed was used to perform a search of the literature for studies published during the period from 1990 to 2009 that reported data on the outcome of conservative or surgical treatment of spondylolysis in athletes. The articles were examined for data on the percentage of athletes who returned to sports activities and the interval between the start of treatment and their return.

RESULTS: Five studies were identified. Two studies were concerned with conservative treatment and the other three with surgical treatment (wire fixation or screw fixation with bone graft). The percentages of athletes who returned to sports activities ranged from 80.0% to 89.3% and from 81.9% to 100%, respectively, and the intervals until their return ranged from 5.4 to 5.5 mo and from 7 to 12 mo, respectively.

CONCLUSION: The percentages of athletes who returned to sports activities after conservative and surgical treatment appeared to be satisfactory, but the interval until their return to sports activities was longer after surgery than after conservative treatment.

Those are not studies measuring the career effects on elite athletes in contact sports.
That retrospective analysis was simply trying to compare surgical vs conservative outcomes, and not track the level of recovery and performance.

 

[CalPolyTechnique]

You don't think I know the difference between the neck and the lower back? LOL

Both played a lot of football in their lives without knowing their spinal condition. That was the point.

Now run along.

There's not a CB in the NFL with a better backpedal than you.

 

[Wood]

What is the likelihood Tapper is able to heal enough to become a productive player for us? Can he eventually be able to play? What are the variables involved in the timetable for his return?

lets remember Dallas has hit on alot of their draft picks. If Tapper is only wash out...then Dallas should be ecstatic.