Management of acute subaxial trauma and spinal cord injury in professional collision athletes

Parthik D. Patel; Srikanth N Divi; Jose A. Canseco; Chester J. Donnally; Matthew Galetta; Alexander Vaccaro; Gregory D. Schroeder; Wellington K. Hsu; Andrew C. Hecht; Andrew B. Dossett; Arsh S. Dhanota; Srivinas K. Prasad; Alexander R. Vaccaro

doi:10.1097/BSD.0000000000001148

Management of acute subaxial trauma and spinal cord injury in professional collision athletes

Parthik D. Patel, Srikanth N Divi, Jose A. Canseco^*, Chester J. Donnally, Matthew Galetta, Alexander Vaccaro, Gregory D. Schroeder, Wellington K. Hsu, Andrew C. Hecht, Andrew B. Dossett, Arsh S. Dhanota, Srivinas K. Prasad, Alexander R. Vaccaro

^*Corresponding author for this work

Orthopaedic Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English (US)
Journal	Clinical spine surgery
DOIs	https://doi.org/10.1097/BSD.0000000000001148
State	Accepted/In press - 2021

Keywords

acute cervical trauma
return-to-play
spinal cord injury
sport injuries
team physician

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine
Clinical Neurology

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Patel, P. D., Divi, S. N., Canseco, J. A., Donnally, C. J., Galetta, M., Vaccaro, A., Schroeder, G. D., Hsu, W. K., Hecht, A. C., Dossett, A. B., Dhanota, A. S., Prasad, S. K., & Vaccaro, A. R. (Accepted/In press). Management of acute subaxial trauma and spinal cord injury in professional collision athletes. Clinical spine surgery. https://doi.org/10.1097/BSD.0000000000001148

Patel, Parthik D. ; Divi, Srikanth N ; Canseco, Jose A. ; Donnally, Chester J. ; Galetta, Matthew ; Vaccaro, Alexander ; Schroeder, Gregory D. ; Hsu, Wellington K. ; Hecht, Andrew C. ; Dossett, Andrew B. ; Dhanota, Arsh S. ; Prasad, Srivinas K. ; Vaccaro, Alexander R. / Management of acute subaxial trauma and spinal cord injury in professional collision athletes. In: Clinical spine surgery. 2021.

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title = "Management of acute subaxial trauma and spinal cord injury in professional collision athletes",

abstract = "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.",

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author = "Patel, {Parthik D.} and Divi, {Srikanth N} and Canseco, {Jose A.} and Donnally, {Chester J.} and Matthew Galetta and Alexander Vaccaro and Schroeder, {Gregory D.} and Hsu, {Wellington K.} and Hecht, {Andrew C.} and Dossett, {Andrew B.} and Dhanota, {Arsh S.} and Prasad, {Srivinas K.} and Vaccaro, {Alexander R.}",

year = "2021",

doi = "10.1097/BSD.0000000000001148",

language = "English (US)",

journal = "Clinical Spine Surgery",

issn = "2380-0186",

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Management of acute subaxial trauma and spinal cord injury in professional collision athletes. / Patel, Parthik D.; Divi, Srikanth N; Canseco, Jose A.; Donnally, Chester J.; Galetta, Matthew; Vaccaro, Alexander; Schroeder, Gregory D.; Hsu, Wellington K.; Hecht, Andrew C.; Dossett, Andrew B.; Dhanota, Arsh S.; Prasad, Srivinas K.; Vaccaro, Alexander R.

In: Clinical spine surgery, 2021.

Research output: Contribution to journal › Article › peer-review

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AU - Canseco, Jose A.

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AU - Galetta, Matthew

AU - Vaccaro, Alexander

AU - Schroeder, Gregory D.

AU - Hsu, Wellington K.

AU - Hecht, Andrew C.

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AU - Dhanota, Arsh S.

AU - Prasad, Srivinas K.

AU - Vaccaro, Alexander R.

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Management of acute subaxial trauma and spinal cord injury in professional collision athletes

Abstract

Keywords

ASJC Scopus subject areas

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