Cervical Spine Acute Bony Injuries in Sports Medicine Differential Diagnoses

1. Langer PR, Fadale PD, Palumbo MA. Catastrophic neck injuries in the collision sport athlete. Sports Med Arthrosc. 2008 Mar. 16(1):7-15. [QxMD MEDLINE Link].

2. Bell K. On-field issues of the C-spine-injured helmeted athlete. Curr Sports Med Rep. 2007 Jan. 6(1):32-5. [QxMD MEDLINE Link].

3. Dec KL, Cole SL, Dec SL. Screening for catastrophic neck injuries in sports. Curr Sports Med Rep. 2007 Jan. 6(1):16-9. [QxMD MEDLINE Link].

4. Bailes JE, Petschauer M, Guskiewicz KM, Marano G. Management of cervical spine injuries in athletes. J Athl Train. 2007 Jan-Mar. 42(1):126-34. [QxMD MEDLINE Link]. [Full Text].

5. Grossman MD, Reilly PM, Gillett T, Gillett D. National survey of the incidence of cervical spine injury and approach to cervical spine clearance in U.S. trauma centers. J Trauma. 1999 Oct. 47(4):684-90. [QxMD MEDLINE Link].

6. Khosla R. An occult cervical spine fracture. Phys Sportsmed. Dec 1997. 25(12):69. [QxMD MEDLINE Link]. [Full Text].

7. Wiesenfarth J, Briner W Jr. Neck injuries: urgent decisions and actions. Phys Sportsmed. Jan 1996. 24(1):35. [QxMD MEDLINE Link]. [Full Text].

8. Boden BP, Tacchetti RL, Cantu RC, Knowles SB, Mueller FO. Catastrophic cervical spine injuries in high school and college football players. Am J Sports Med. 2006 Aug. 34(8):1223-32. [QxMD MEDLINE Link].

9. Haight RR, Shiple BJ. Sideline evaluation of neck pain: when is it time for transport?. Phys Sportsmed. Mar 2001. 29(3):45-62. [QxMD MEDLINE Link].

10. Mueller FO. Fatalities from head and cervical spine injuries occurring in tackle football: 50 years' experience. Clin Sports Med. 1998 Jan. 17(1):169-82. [QxMD MEDLINE Link].

11. Cantu RC, Bailes JE, Wilberger JE Jr. Guidelines for return to contact or collision sport after a cervical spine injury. Clin Sports Med. 1998 Jan. 17(1):137-46. [QxMD MEDLINE Link].

12. Bailes JE, Maroon JC. Management of cervical spine injuries in athletes. Clin Sports Med. 1989 Jan. 8(1):43-58. [QxMD MEDLINE Link].

13. Morrissette C, Park PJ, Lehman RA, Popkin CA. Cervical spine injuries in the ice hockey player: current concepts in epidemiology, management and prevention. Global Spine J. 2021 Oct. 11 (8):1299-1306. [QxMD MEDLINE Link]. [Full Text].

14. Pereira CS, Lopes AL, Rodrigues-Pinto R. Sequential traumatic cervical fractures after paragliding accidents - A case report and literature review. Surg Neurol Int. 2021. 12:47. [QxMD MEDLINE Link]. [Full Text].

15. Leonard JR, Jaffe DM, Kuppermann N, Olsen CS, Leonard JC, Pediatric Emergency Care Applied Research Network (PECARN) Cervical Spine Study Group. Cervical spine injury patterns in children. Pediatrics. 2014 May. 133 (5):e1179-88. [QxMD MEDLINE Link].

16. Novelline RA. The normal cervical spine and its variations on plain radiography and computed tomography. Rhea JT, Rao PM, eds. Emergency Radiology. Philadelphia, Pa: Lippincott William & Wilkins; 1998. 13-28.

17. Torg JS, Ramsey-Emrhein JA. Cervical spine and brachial plexus injuries: return-to-play recommendations. Phys Sportsmed. July 1997. 25(7):60. [QxMD MEDLINE Link]. [Full Text].

18. Goldberg W, Mueller C, Panacek E, et al. Distribution and patterns of blunt traumatic cervical spine injury. Ann Emerg Med. 2001 Jul. 38(1):17-21. [QxMD MEDLINE Link].

19. Maroon JC, Bailes JE. Athletes with cervical spine injury. Spine. 1996 Oct 1. 21(19):2294-9. [QxMD MEDLINE Link].

20. Dickinson G, Stiell IG, Schull M, et al. Retrospective application of the NEXUS low-risk criteria for cervical spine radiography in Canadian emergency departments. Ann Emerg Med. 2004 Apr. 43(4):507-14. [QxMD MEDLINE Link].

21. Stiell IG, Clement CM, McKnight RD, et al. The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma. N Engl J Med. 2003 Dec 25. 349(26):2510-8. [QxMD MEDLINE Link]. [Full Text].

22. Edwards MJ, Frankema SP, Kruit MC, et al. Routine cervical spine radiography for trauma victims: Does everybody need it?. J Trauma. 2001 Mar. 50(3):529-34. [QxMD MEDLINE Link].

23. Hoffman JR, Mower WR, Wolfson AB, Todd KH, Zucker MI. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. National Emergency X-Radiography Utilization Study Group. N Engl J Med. 2000 Jul 13. 343(2):94-9. [QxMD MEDLINE Link]. [Full Text].

24. Stiell IG, Wells GA, Vandemheen KL, et al. The Canadian C-spine rule for radiography in alert and stable trauma patients. JAMA. 2001 Oct 17. 286(15):1841-8. [QxMD MEDLINE Link]. [Full Text].

25. Stiell IG, Clement C, Wells GA, et al. Multicentre prospective validation of the Canadian C-Spine rule [abstract]. Acad Emerg Med. 2002. 9(5):359.

26. Mower WR, Hoffman JR, Pollack CV Jr, et al. Use of plain radiography to screen for cervical spine injuries. Ann Emerg Med. 2001 Jul. 38(1):1-7. [QxMD MEDLINE Link].

27. Ralston ME, Ecklund K, Emans JB, et al. Role of oblique radiographs in blunt pediatric cervical spine injury. Pediatr Emerg Care. 2003 Apr. 19(2):68-72. [QxMD MEDLINE Link].

28. Pollack CV Jr, Hendey GW, Martin DR, Hoffman JR, Mower WR. Use of flexion-extension radiographs of the cervical spine in blunt trauma. Ann Emerg Med. 2001 Jul. 38(1):8-11. [QxMD MEDLINE Link].

29. Ralston ME, Chung K, Barnes PD, Emans JB, Schutzman SA. Role of flexion-extension radiographs in blunt pediatric cervical spine injury. Acad Emerg Med. 2001 Mar. 8(3):237-45. [QxMD MEDLINE Link].

30. Barrett TW, Mower WR, Zucker MI, Hoffman JR. Injuries missed by limited computed tomographic imaging of patients with cervical spine injuries. Ann Emerg Med. 2006 Feb. 47(2):129-33. [QxMD MEDLINE Link].

31. Panczykowski DM, Tomycz ND, Okonkwo DO. Comparative effectiveness of using computed tomography alone to exclude cervical spine injuries in obtunded or intubated patients: meta-analysis of 14,327 patients with blunt trauma. J Neurosurg. 2011 Sep. 115(3):541-9. [QxMD MEDLINE Link].

32. Miyanji F, Furlan JC, Aarabi B, Arnold PM, Fehlings MG. Acute cervical traumatic spinal cord injury: MR imaging findings correlated with neurologic outcome--prospective study with 100 consecutive patients. Radiology. 2007 Jun. 243(3):820-7. [QxMD MEDLINE Link].

33. Ackland HM, Cameron PA, Wolfe R, Malham GM, Varma DK, Fitt GJ, et al. Outcomes at 12 Months Following Early Mri in Acute Trauma Patients with Persistent Midline Cervical Tenderness and Negative CT. Spine (Phila Pa 1976). 2012 May 18. [QxMD MEDLINE Link].

34. Aptaker RL. Neck pain: part 2: optimizing treatment and rehabilitation. Phys Sportsmed. Nov 1996. 24(11):54. [QxMD MEDLINE Link]. [Full Text].

35. Roberts WO. Helmet removal in head and neck trauma. Phys Sportsmed. 1998 Jul. 26(7):77-8. [QxMD MEDLINE Link]. [Full Text].

36. Davidson RM, Burton JH, Snowise M, Owens WB. Football protective gear and cervical spine imaging. Ann Emerg Med. 2001 Jul. 38(1):26-30. [QxMD MEDLINE Link].

37. France JC, Karsy M, Harrop JS, Dailey AT. Return to Play after Cervical Spine Injuries: A Consensus of Opinion. Global Spine J. 2016 Dec. 6 (8):792-797. [QxMD MEDLINE Link].

38. Fiani B, Runnels J, Taylor A, et al. Prevalence of sports-related spinal injury stratified by competition level and return to play guidelines. Rev Neurosci. 2021 Feb 23. 32 (2):169-79. [QxMD MEDLINE Link].

George L Hertner, MD Chief of Emergency Medicine, UCHealth Memorial Hospital of Colorado Springs

George L Hertner, MD is a member of the following medical societies: American College of Emergency Physicians, American Medical Association, Colorado Medical Society

Disclosure: Nothing to disclose.

Nathaniel Johnson Stewart, Jr, MD, FACEP, MT(ASCP) Former Director for Education and Professional Services, Chair of the Department of Emergency Medicine, Attending Physician, Palmetto Health Richland Hospital; Associate professor of Medicine and Surgery, UUniversity of South Carolina School of Medicine, Columbia

Nathaniel Johnson Stewart, Jr, MD, FACEP, MT(ASCP) is a member of the following medical societies: Alpha Omega Alpha, Society for Academic Emergency Medicine, American College of Emergency Physicians, South Carolina Medical Association

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Henry T Goitz, MD Clinical Professor of Orthopaedic Surgery and Sports Medicine, Michigan State University College of Human Medicine; Academic Chief of Orthopaedic Sports Medicine, Regional Director of Ambulatory Clinic Site, Sports Medicine Institute, Detroit Medical Center

Henry T Goitz, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, Arthroscopy Association of North America, Detroit Academy of Orthopaedic Surgeons, International Association for Dance Medicine and Science, International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine, Michigan Orthopaedic Society, Michigan State Medical Society, Mid-America Orthopaedic Association

Disclosure: Nothing to disclose.

Sherwin SW Ho, MD Associate Professor, Department of Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, University of Chicago Division of the Biological Sciences, The Pritzker School of Medicine

Sherwin SW Ho, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, Arthroscopy Association of North America, Herodicus Society, American Orthopaedic Society for Sports Medicine

Disclosure: Received consulting fee from Biomet, Inc. for speaking and teaching; Received grant/research funds from Smith and Nephew for fellowship funding; Received grant/research funds from DJ Ortho for course funding; Received grant/research funds from Athletico Physical Therapy for course, research funding; Received royalty from Biomet, Inc. for consulting.

Janos P Ertl, MD Assistant Professor, Department of Orthopedic Surgery, Indiana University School of Medicine; Chief of Orthopedic Surgery, Wishard Hospital; Chief, Sports Medicine and Arthroscopy, Indiana University School of Medicine

Janos P Ertl, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Association, Hungarian Medical Association of America, Sierra Sacramento Valley Medical Society

Disclosure: Nothing to disclose.

The authors and editors of Medscape Reference gratefully acknowledge the contributions of previous author coauthor Mark Leski, MD, to the development and writing of this article.

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