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Abstract

Catastrophic cervical spine injuries can lead to devastating consequences for the collision athlete. Improved understanding of these injuries can lead to identification of risk factors, early diagnosis, and effective on-field management. This article is the second in a 2-part series. The first part, published in the June 2004 issue, reviewed the current concepts regarding the epidemiology, functional anatomy, and diagnostic considerations relevant to cervical spine trauma in collision sports. In this article, the principles of on-field emergency care of the spine-injured athlete are reviewed. The authors discuss the need for effective pre-event planning, on-field evaluation and management of cervical spine injuries, and the transition of care from the playing field to the emergency room. The protocol for equipment removal, when necessary, is also reviewed. An organized, rapid approach to the management of cervical spine–injured collision athletes can help to optimize the outcomes of these catastrophic injuries.

Keywords

cervical spine injury collision athlete football hockey

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References

Cross KM

Serenelli C.

Training and equipment to prevent athletic head and neck injuries. Clin Sports Med.2003; 22: 639-667.

Davidson RM

Burton JH

Snowise M

Owens WB

. Football protective gear and cervical spine imaging. Ann Emerg Med.2001; 38: 26-30.

Donaldson WF

Lauerman WC

Heil B

, et al. Helmet and shoulder pad removal from a player with suspected cervical spine injury. Spine. 1998; 23: 1729-1732.

Hollenberg GM

Beitia AO

Tan RK

Weinberg EP

Adams MJ

. Imaging of the spine in sports medicine. Curr Sports Med Rep.2003; 2: 33-40.

Kleiner DM

Almquist JL

Bailes J

, et al. Prehospital Care of the Spine-Injured Athlete: A Document From the Inter-association Task Force for Appropriate Care of the Spine-Injured Athlete. Dallas, Tex: National Athletic Trainers’ Association; 2001.

LaPrade RF

Schnetzler KA

Broxterman RJ

Wentorf F

Gilbert TJ

. Cervical spine alignment in the immobilized ice hockey player: a computed tomographic analysis of the effects of helmet removal. Am J Sports Med.2000; 28: 800-803.

Palumbo MA

Hulstyn MJ

Fadale PD

, et al. The effect of protective football equipment on alignment of the injured cervical spine: radio-graphic analysis in a cadaveric model. Am J Sports Med.1996; 24: 446-453.

Peris MD

Donaldson WF III

Towers J

Blanc R

Muzzonigro TS

. Helmet and shoulder pad removal in suspected cervical spine injury: human control model. Spine. 2002; 27: 995-998; discussion 998-999.

Torg JS

Vegso JJ

O’Neill MJ

Sennett B.

The epidemiologic, pathologic, biomechanical, and cinematographic analysis of football-induced cervical spine trauma. Am J Sports Med.1990; 18: 50-57.

10.

Veenema K

Greenwald R

Kamali M

Freedman A

Spillane L.

The initial lateral cervical spine film for the athlete with a suspected neck injury: helmet and shoulder pads on or off?

Clin J Sport Med.2002; 12: 123-126.

11.

Waeckerle JF

Kleiner DM

. Protective athletic equipment and cervical spine imaging. Ann Emerg Med.2001; 38: 26-30.

12.

Waninger KN

Richard JG

Pan WT

Shay AR

Shindle MK

. An evaluation of head movement in backboard-immobilized helmeted football, lacrosse, and ice hockey players. Clin J Sport Med.2001; 11: 82-86.

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