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

Access to Document

10.1097/BSD.0000000000001148

Cite this

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.

@article{84c905641bf147099e200ec1e6b23715,

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.",

keywords = "acute cervical trauma, return-to-play, spinal cord injury, sport injuries, team physician",

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",

publisher = "Lippincott Williams and Wilkins",

}

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

TY - JOUR

T1 - Management of acute subaxial trauma and spinal cord injury in professional collision athletes

AU - Patel, Parthik D.

AU - Divi, Srikanth N.

AU - Canseco, Jose A.

AU - Donnally, Chester J.

AU - Galetta, Matthew

AU - Vaccaro, Alexander

AU - Schroeder, Gregory D.

AU - Hsu, Wellington K.

AU - Hecht, Andrew C.

AU - Dossett, Andrew B.

AU - Dhanota, Arsh S.

AU - Prasad, Srivinas K.

AU - Vaccaro, Alexander R.

PY - 2021

Y1 - 2021

N2 - 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.

AB - 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.

KW - acute cervical trauma

KW - return-to-play

KW - spinal cord injury

KW - sport injuries

KW - team physician

UR - http://www.scopus.com/inward/record.url?scp=85105196316&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85105196316&partnerID=8YFLogxK

U2 - 10.1097/BSD.0000000000001148

DO - 10.1097/BSD.0000000000001148

M3 - Article

C2 - 34379610

AN - SCOPUS:85105196316

JO - Clinical Spine Surgery

JF - Clinical Spine Surgery

SN - 2380-0186

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this