Spinal Cord Injury Due to Cervical Disc Herniation without Bony Involvement Caused by Wrestling - A Case Report

INTRODUCTION: Many cases of cervical spinal disc herniation caused by sporting injury have been reported. Those cases generally accompanied high-energy trauma such as fractures and/or dislocations. The purpose is to present the case of spinal cord injury (SCI) due to cervical disc herniation without bony involvement caused by wrestling. CASE REPORT: We report a case of a 23-year-old man who sustained a cervical SCI during the wrestling competition. He was quadriplegic with no sensory or motor function preserved in sacral segments S4-S5. Conventional radiographs and computed tomography did not reveal bony abnormalities. Magnetic resonance imaging (MRI) showed a free herniated cervical disc severely compressing the spinal cord from central at C3/4 level. He underwent anterior cervical discectomy and interbody fusion using autologous iliac crest bone graft and fixation with the cervical plate. He made an eventful recovery, and 5 years later, he was playing at high competitive level. CONCLUSION: Competitive wrestling-related injuries are quite high. Fortunately, the incidence of SCI among wrestlers is extremely low. Although rare, SCI due to cervical disc herniation without bony involvement is a serious debilitating injury that exerts a devastating effect on a wrestler from a physical, psychological, and socioeconomic point of view, and places an immense burden on society from a public health perspective. The MRI is the golden examination in diagnosing such lesion. The management comprises surgical decompression of neural elements, stabilization, and fusion to provide a higher recovery rate from cord damage to return to play. Wrestler who is completely pain free with full range of motion and strength may be eligible for return to play.