Semin Neurol 2000; 20(2): 173-178
DOI: 10.1055/s-2000-9825
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Cervical Spine Injuries in the Athlete

Robert C. Cantu
  • Neurosurgery Service, Emerson Hospital, Concord, Massachusetts
Further Information

Publication History

Publication Date:
31 December 2000 (online)

ABSTRACT

Special considerations must be brought into play when the physician is consulted about when to allow an athlete to return to play following injury. This is especially true for brain and spinal cord injury. Although it is generally best to be on the conservative side, being too reticent about allowing any athlete to return may be very detrimental to the athlete and/or the entire team. Therefore, it behooves the sports physician to be circumspect with regard to not only the type of injury the athlete has suffered but also the nature, duration, and the repetitive aspects of the trauma along with the inherent strengths of any player. This article will provide the sports physician with criteria for making sound decisions regarding return to competition after cervical spine injury and ``functional'' cervical spinal stenosis.

REFERENCES

  • 1 White A A, Johnson R M, Pangabi M M. Biomechanical analysis of clinical stability in the cervical spine.  Clin Orthop . 1975;  109 85-89
  • 2 Torg J S, Sennett B, Pavlov H. Spear tacklers spine: an entity precluding participation in tackle football and collision activities that expose the cervical spine to axial injury inputs.  Am J Sports Med . 1993;  21 640-649
  • 3 Chestnut R M. Emergency management of spinal cord injury. In: Narayan RK, Wilberger JE Jr, Povlishock JT, eds. Neurotrauma New York: McGraw-Hill 1996: 1121
  • 4 Maroon J C, Bailes J E. Athletes with cervical spine injury.  Spine . 1996;  21 19
  • 5 Mayfield F H. Neurosurgical aspects of cervical trauma. In: Clinical Neurosurgery, vol. 2 Baltimore: Williams & Wilkins; 1995
  • 6 Maroon J C. ``Burning hands'' in football spinal cord injuries.  JAMA . 1977;  238 2031-2049
  • 7 Bailes J E, Hadley M N, Quigley M R. Management of athletic injuries of the cervical spine and spinal cord.  Neurosurgery . 1991;  29 4
  • 8 Torg J S, Pavlov H, Genuano S E. Neuropraxia of the cervical spinal cord with transient quadriplegia.  J Bone Joint Surg Am . 1986;  68 1354-1378
  • 9 Schneider R S, Reifel E, Crisler H. Serious and fatal football injuries involving the head and spinal cord.  JAMA . 1961;  177 362-367
  • 10 Matsuura P, Waters R L, Adkins R H. Comparison of computerized tomography parameters of the cervical spine in normal control subjects and spinal cord-injured patients.  J Bone Joint Surg . 1989;  71 183-188
  • 11 Nugent G R. Clinicopathologic correlations in cervical spondylosis.  Neurology . 1959;  9 273-281
  • 12 Firooznia H. Ahn J, Rafii M, et al.  Sudden quadriplegia after a minor trauma: the role of preexisting spinal stenosis. Surg Neurol . 1985;  23 165-168
  • 13 Wolfe B S, Khnilnani M, Malis L. The sagittal diameter of the bony cervical spinal canal and its significance in cervical spondylosis.  J M Sinai Hosp . 1956;  23 283-292
  • 14 Resnick D. Degenerative disease of the spine. In: Diagnosis of Bone and Joint Disorders Philadelphia: WB Saunders Co 1981: 1408-1415
  • 15 Ladd A L, Scranton P E. Congenital cervical stenosis presenting as transient quadriplegia in athletes.  J Bone Joint Surg . 1986;  68 1371-1374
  • 16 Cantu R C. Functional cervical spinal stenosis: a contraindication to participation in contact sports.  Med Sci Sports Exerc . 1993;  25 1082-1083
  • 17 Herzog R J, Weins J J, Dillingham M F. Normal cervical spine morphometry and cervical spinal stenosis in asymptomatic professional football players.  Spine . 1991;  16 178-186
  • 18 Boijsen E. The cervical spinal canal in intraspinal expansive processes.  Acta Radiol . 1954;  42 101-115
  • 19 Eismont F J, Clifford S, Goldberg M. Cervical sagittal spinal canal size in spinal injury.  Spine . 1984;  9 663-666
  • 20 Penning L. Some aspects of plain radiography of the cervical spine in chronic myelopathy.  Neurology . 1962;  12 513-519
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