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Seminars in Neurosurgery 2003; 14(1): 031-038
DOI: 10.1055/s-2003-41147
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Cervical Spine Injuries in Athletes

Scott Purvines, Michael W. Groff, Henry Feuer
  • Section of Neurological Surgery, Indiana University School of Medicine, Indianapolis, Indiana
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Publication History

Publication Date:
06 August 2003 (online)

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ABSTRACT

Spinal injuries account for 2 to 3% of all athletic injuries. Of the 7000 to 10,000 spinal cord injuries that occur each year in the United States, up to 15% occur during athletic activities. Certain mechanisms and injury patterns can be identified. A team effort on the part of coaches, trainers, and physicians can prevent first-time and repeat injuries. Proper management of the injury can minimize morbidity. Awareness of these potentially catastrophic injuries should promote ongoing education and training of techniques for injury prevention, assurance of appropriate on-the-field management of injuries, definitive management, and return to play guidelines.

KEYWORDS

Spinal injuries - athletics - prevention - disc herniation - spinal cord injury

REFERENCES

  • 1 Maroon J C, Bailes J E. Athletes with cervical spine injury.  Spine . 1996;  21 2294-2299
    CrossrefPubMedGoogle Scholar
  • 2 Young J S, Burns P E, Bower A M, McCutchen R. Spinal Cord Injury Statistics: Experience of the Regional Spinal Cord Injury Systems. Phoenix, AZ: Good Samaritan Med Center 1982: 1
    Google Scholar
  • 3 Clarke S C. Epidemiology of athletic neck injury.  Clin Sports Med . 1998;  17 83-97
    PubMedGoogle Scholar
  • 4 Bailes J E, Hadley M N, Quigley M R, Sonntag V K, Cerullo L J. Management of athletic injuries of the cervical spine and spinal cord.  Neurosurgery . 1991;  29 491-497
    CrossrefPubMedGoogle Scholar
  • 5 Torg J S, Pavlov H, Genuario S E. et al . Neurapraxia of the cervical spinal cord with transient quadriplegia.  J Bone Joint Surg Am . 1986;  68 1354-1370
    PubMedGoogle Scholar
  • 6 Mueller F O, Blythe C S. Catastrophic head and neck injuries.  Phys Sports Med . 1979;  7 71-77
    PubMedGoogle Scholar
  • 7 Cantu R C, Mueller F O. Catastrophic football injuries: 1977-1998.  Neurosurgery . 2000;  47 673-675
    PubMedGoogle Scholar
  • 8 Schneider R C. Serious and fatal football injuries involving the head and spinal cord.  JAMA . 1964;  177 362-367
    PubMedGoogle Scholar
  • 9 Torg J S, Truex Jr R, Quedenfeld T C, Burstein A, Spealman A, Nichols 3rd C. The National Football Head and Neck Injury Registry, report and conclusions 1978.  JAMA . 1979;  241 477-479
    PubMedGoogle Scholar
  • 10 Maroon J C, Healion T. Catastrophic neck injuries from football in western Pennsylvania.  Physician Sports Med . 1970;  9 83-86
    PubMedGoogle Scholar
  • 11 Torg J S, Truex Jr C R, Marshall J. et al . Spinal injury at the level of the third and forth cervical vertebrae from football.  J Bone Joint Surg Am . 1977;  59 1015-1019
    PubMedGoogle Scholar
  • 12 Bailes J E. Spinal Injuries in Athletes. Principles of Spine Surgery. New York, NY: McGraw-Hill 1996: 465-491
    Google Scholar
  • 13 Clarke K. A survey of sports related spinal cord injuries in schools and colleges: 1973-1975.  J Safety Res . 1977;  9 140-146
    PubMedGoogle Scholar
  • 14 Good R P, Nickel V L. Cervical spine injuries resulting from water sports.  Spine . 1980;  5 502-506
    PubMedGoogle Scholar
  • 15 Bailes J E, Herman J M, Quigley M R, Cerullo L J, Meyer Jr R P. Diving injuries of the cervical spine.  Surg Neurol . 1990;  34 155-158
    PubMedGoogle Scholar
  • 16 Burke D C. Diving injuries from water sports.  Med J Aust . 1972;  2 1190-1194
    PubMedGoogle Scholar
  • 17 Albrand O W, Walter J. Underwater deceleration curves in relation to injuries from diving.  Surg Neurol . 1975;  4 461-464
    PubMedGoogle Scholar
  • 18 Torg J S. Epidemiology, pathomechanics and prevention of athletic injuries to the cervical spine.  Med Sci Sports Exerc . 1985;  17 295-303
    PubMedGoogle Scholar
  • 19 Roaf R. A study of the mechanics of spinal injuries.  J Bone Joint Surg . 1960;  42B 810-823
    PubMedGoogle Scholar
  • 20 Wu W Q, Lewis R C. Injuries of the cervical spine in high school wrestling.  Surg Neurol . 1985;  23 143-147
    PubMedGoogle Scholar
  • 21 Scher A T. Vertex impact and cervical dislocation in rugby players.  S Afr Med J . 1983;  64 595
    PubMedGoogle Scholar
  • 22 Scher A T. Crashing the rugby scrum-an avoidable cause of cervical spinal injury.  S Afr Med J . 1982;  61 919-920
    PubMedGoogle Scholar
  • 23 Gerberich S G, Finke R, Madden M, Priest J D, Aamoth G, Murray K. An epidemiological study of high school hockey injuries.  Childs Nerv Syst . 1987;  3 59-64
    CrossrefPubMedGoogle Scholar
  • 24 Tator C H, Edmonds V E, Lapczak L, Tator I B. Spinal injuries in ice hockey players, 1966-1987.  Can J Surg . 1991;  34 63-69
    PubMedGoogle Scholar
  • 25 Zimmerman H M. Accident experience with trampolines.  Res Q . 1946;  27 452-455
    PubMedGoogle Scholar
  • 26 Albright J P, Moses J M, Feldick H G, Dolan K D, Burmeister L F. Nonfatal cervical spine injuries in interscholastic football.  JAMA . 1976;  236 1243-1245
    CrossrefPubMedGoogle Scholar
  • 27 Ladd A L, Scranton P E. Congenital cervical stenosis presenting as transient quadriplegia in athletes.  J Bone Joint Surg Am . 1986;  68 1371-1374
    PubMedGoogle Scholar
  • 28 Herzog R J, Wiens J J, Dillingham M F, Sontag M J. Normal cervical spine morphometry and cervical spinal stenosis in asymptomatic professional football players. Plain film radiography, multiplanar computed tomography, and magnetic resonance imaging.  Spine . 1991;  16 (suppl 6) S178-S186
    CrossrefPubMedGoogle Scholar
  • 29 Cantu R C. The cervical spinal stenosis controversy.  Clin Sports Med . 1998;  17 121-126
    PubMedGoogle Scholar
  • 30 Resnick D. Diagnosis of Bone and Joint Disorders. Philadelphia, PA: WB Saunders 1981: 1408-1415
    Google Scholar
  • 31 Torg J S, Sennett B, Pavlov H, Leventhal M R, Glasgow S G. Spear tackler's spine: an entity precluding participation in tackle football and collision activities that expose the cervical spine to axial inputs.  Am J Sports Med . 1993;  21 640-649
    PubMedGoogle Scholar
  • 32 Matsuura P, Waters R L, Adkins R H, Rothman S, Gurbani N, Sie I. Comparison of computerized tomography parameters of the cervical spine in normal control subjects and spinal cord injured patients.  J Bone Joint Surg Am . 1989;  71 183-188
    CrossrefPubMedGoogle Scholar
  • 33 Maroon J C. "Burning hands" in football spinal cord injuries.  JAMA . 1977;  238 2049-2051
    CrossrefPubMedGoogle Scholar
  • 34 Wilberger J E, Alba A, Maroon J C. Burning hands syndrome revisited. Neurosurgery .  1986;  19 1038-1040
    PubMedGoogle Scholar
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