Cervical cord contusions in athletes characterized

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)

add to favorites email to friend print save as pdf

Related Stories

Surgery consultation common after MRI of the spine

Jan 02, 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 ...

AMSSM issues position statement on sport-related concussions

Jan 07, 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

CDC: Almost everyone needs a flu shot

4 hours ago

(HealthDay)—Less than half of all Americans got a flu shot last year, so U.S. health officials on Thursday urged that everyone 6 months and older get vaccinated for the coming flu season. "It's really unfortunate ...

Can you train your brain to crave healthy foods?

6 hours ago

The mere sight of a slice of gooey chocolate cake, a cheesy pizza, or a sizzling burger can drive us to eat these foods. In terms of evolution we show preference for high calorie foods as they are an important ...

User comments