Multidetector CT of blunt cervical spine trauma in adults.

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Abstract

[Indexed for MEDLINE] 8. Clin Spine Surg. 2022 Jul 1;35(6):241-248. doi: 10.1097/BSD.0000000000001148. Epub 2021 Mar 1. Management of Acute Subaxial Trauma and Spinal Cord Injury in Professional Collision Athletes. Patel PD(1), Divi SN(1), Canseco JA(1), Donnally CJ 3rd(1), Galetta M(1), Vaccaro A Jr(1), Schroeder GD(1), Hsu WK(2), Hecht AC(3), Dossett AB(4), Dhanota AS(5), Prasad SK(6), Vaccaro AR(1). Author information: (1)Department of Orthopaedic Surgery, Rothman Orthopaedic Institute, Phiadelphia, PA. (2)Department of Orthopaedic Srugery, Northwestern University, Chicago, IL. (3)Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY. (4)Department of Orthopaedic Surgery, The Carrell Clinic, Dallas, TX. (5)Department of Sports Medicine, Perelman School of Medicine at the University of Pennsylvania. (6)Department of Neurosurgery, Thomas Jefferson University, Phiadelphia, PA. Sports-related acute cervical trauma and spinal cord injury (SCI) represent a rare but devastating potential complication of collision sport injuries. Currently, there is debate on appropriate management protocols and return-to-play guidelines in professional collision athletes following cervical trauma. While cervical muscle strains and sprains are among the most common injuries sustained by collision athletes, the life-changing effects of severe neurological sequelae (ie, quadriplegia and paraplegia) from fractures and SCIs require increased attention and care. Appropriate on-field management and subsequent transfer/workup at an experienced trauma/SCI center is necessary for optimal patient care, prevention of injury exacerbation, and improvement in outcomes. This review discusses the epidemiology, pathophysiology, clinical presentation, immediate/long-term management, and current return-to-play recommendations of athletes who suffer cervical trauma and SCI. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved. DOI: 10.1097/BSD.0000000000001148