Cervical cord contusions in athletes characterized

March 19, 2013
Cervical cord contusions in athletes characterized
In professional athletes, cervical spinal cord contusion may be due, in part, to congenital stenosis, the horizontal facet orientation of the cervical C3-C4 level, and the relative hypermobility of extension in this area, according to research published in the Feb. 15 issue of Spine.

(HealthDay)—In professional athletes, cervical spinal cord contusion may be due, in part, to congenital stenosis, the horizontal facet orientation of the cervical C3-C4 level, and the relative hypermobility of extension in this area, according to research published in the Feb. 15 issue of Spine.

Craig D. Brigham, M.D., and Jason Capo, M.D., of the OrthoCarolina, PA Spine Center in Charlotte, N.C., reported the results of a retrospective case series involving cervical contusion in four .

All four athletes exhibited congenital stenosis and signs and symptoms that did not correlate with the presence of a contusion due to hyperextension; all underwent anterior fusions at the level of their contusion. Two athletes developed new contusions, one between one and two years later at a new site and the other more than five years later at the same site. None of the four athletes developed permanent neurological sequelae.

"This supports the that hypermobility and horizontal facet orientation contributes to this condition. Return-to-play criteria must be individualized and the specific cause of the or contusion thoroughly investigated," the authors write. "Return-to-play decisions should prioritize an athlete's symptoms in context with appropriate imaging studies. Informed decision making regarding surgery and return to play should include realistic expectations of athletic goals. It should also be emphasized that the long-term sequelae of a cord contusion or repeated episodes of a cord concussion are unknown."

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Surgery consultation common after MRI of the spine

January 2, 2013

(HealthDay)—Almost half of patients whose primary care physicians recommend a lumbosacral or cervical spine magnetic resonance imaging (MRI) scan go on to receive a surgical consultation, but few end up undergoing spinal ...

AMSSM issues position statement on sport-related concussions

January 7, 2013

Athletes with concussions must be held out of practice or play until all symptoms have resolved, to avoid the risk of further injury during the vulnerable period before the brain has recovered. That's among the key recommendations ...

Recommended for you

Can four fish oil pills a day keep the doctor away?

July 7, 2015

Fish oil is one of the most popular dietary supplements in the U.S. because of the perceived cardiovascular benefits of the omega-3 it contains. However, scientific findings on its effectiveness have been conflicting. New ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.