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Catastrophic Cervical Spine Injuries in Contact Sports
#MMPMID27781193
Hutton MJ
; McGuire RA
; Dunn R
; Williams R
; Robertson P
; Twaddle B
; Kiely P
; Clarke A
; Mazda K
; Davies P
; Pagarigan KT
; Dettori JR
Global Spine J
2016[Nov]; 6
(7
): 721-734
PMID27781193
show ga
Study Design?Systematic review. Objectives?To determine the incidence of
catastrophic cervical spine injuries (CCSIs) among elite athletes participating
in contact team sports and whether the incidence varies depending on the use of
protective gear or by player position. Methods?Electronic databases and reference
lists of key articles published from January 1, 2000, to January 29, 2016, were
searched. Results?Fourteen studies were included that reported CCSI in rugby
(n?=?10), American football (n?=?3), and Irish hurling (n?=?1). Among Rugby Union
players, incidence of CCSI was 4.1 per 100,000 player-hours. Among National
Football League players, the CCSI rate was 0.6 per 100,000 player-exposures. At
the collegiate level, the CCSI rate ranged from 1.1 to 4.7 per 100,000
player-years. Mixed populations of elite and recreational rugby players in four
studies report a CCSI rate of 1.4 to 7.2 per 100,000 player-years. In this same
population, the scrum accounted for 30 to 51% of total reported CCSIs in Rugby
Union versus 0 to 4% in Rugby League. The tackle accounted for 29 to 39% of
injuries in Rugby Union and 78 to 100% of injuries in Rugby League. Making a
tackle was responsible for 29 to 80% of injuries in American football.
Conclusion?CCSIs are infrequent among elite athletes. There is insufficient
evidence to determine the effect of protective gear (e.g., helmets, padding) on
CCSI incidence. Scrum and tackle in rugby and tackling in American football
account for the majority of CCSIs in each respective sport.