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Treatment strategies for managing cervical spine injuries in rugby players

BACKGROUND: Cervical spine fractures are potentially catastrophic injuries in rugby players. Here, we reviewed seven patients who sustained rugby-related cervical spine fractures. Notably, three of seven fractures were missed on initial X-rays, but were ultimately documented on CT studies obtained a...

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Autores principales: Yurac, Ratko, Zamorano, Juan Jose, Quinteros, Guisela, Izquierdo, Guillermo, Novoa, Felipe, Brañes, Rocío, Valencia, Manuel, Silva, Alvaro, Marré, Bartolomé
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7827305/
https://www.ncbi.nlm.nih.gov/pubmed/33500821
http://dx.doi.org/10.25259/SNI_794_2020
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author Yurac, Ratko
Zamorano, Juan Jose
Quinteros, Guisela
Izquierdo, Guillermo
Novoa, Felipe
Brañes, Rocío
Valencia, Manuel
Silva, Alvaro
Marré, Bartolomé
author_facet Yurac, Ratko
Zamorano, Juan Jose
Quinteros, Guisela
Izquierdo, Guillermo
Novoa, Felipe
Brañes, Rocío
Valencia, Manuel
Silva, Alvaro
Marré, Bartolomé
author_sort Yurac, Ratko
collection PubMed
description BACKGROUND: Cervical spine fractures are potentially catastrophic injuries in rugby players. Here, we reviewed seven patients who sustained rugby-related cervical spine fractures. Notably, three of seven fractures were missed on initial X-rays, but were ultimately documented on CT studies obtained an average of 10 days later. METHODS: Seven patients sustained cervical spine fracture attributed to rugby (2009–2016) and were followed an average of 52 posttrauma months. Most injuries occurred at the C6-C7 level, and six of seven patients required surgery. Further, only two of seven patients exhibited resultant neurological deficits (e.g., one myelopathy and one radiculopathy). RESULTS: Although the rugby injury was sufficiently documented on initial X-rays in four patients, three initial X-rays missed fractures, which were documented on the CT studies obtained an average of 10 days later. CONCLUSION: Rugby-related cervical fractures must be considered where players continue to complain of pain following trauma. Notably, routine X-rays may miss fractures in 3 of 7 cases (43%), thus warranting supplemental CT examinations to definitively rule out fractures.
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spelling pubmed-78273052021-01-25 Treatment strategies for managing cervical spine injuries in rugby players Yurac, Ratko Zamorano, Juan Jose Quinteros, Guisela Izquierdo, Guillermo Novoa, Felipe Brañes, Rocío Valencia, Manuel Silva, Alvaro Marré, Bartolomé Surg Neurol Int Original Article BACKGROUND: Cervical spine fractures are potentially catastrophic injuries in rugby players. Here, we reviewed seven patients who sustained rugby-related cervical spine fractures. Notably, three of seven fractures were missed on initial X-rays, but were ultimately documented on CT studies obtained an average of 10 days later. METHODS: Seven patients sustained cervical spine fracture attributed to rugby (2009–2016) and were followed an average of 52 posttrauma months. Most injuries occurred at the C6-C7 level, and six of seven patients required surgery. Further, only two of seven patients exhibited resultant neurological deficits (e.g., one myelopathy and one radiculopathy). RESULTS: Although the rugby injury was sufficiently documented on initial X-rays in four patients, three initial X-rays missed fractures, which were documented on the CT studies obtained an average of 10 days later. CONCLUSION: Rugby-related cervical fractures must be considered where players continue to complain of pain following trauma. Notably, routine X-rays may miss fractures in 3 of 7 cases (43%), thus warranting supplemental CT examinations to definitively rule out fractures. Scientific Scholar 2021-01-05 /pmc/articles/PMC7827305/ /pubmed/33500821 http://dx.doi.org/10.25259/SNI_794_2020 Text en Copyright: © 2020 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Yurac, Ratko
Zamorano, Juan Jose
Quinteros, Guisela
Izquierdo, Guillermo
Novoa, Felipe
Brañes, Rocío
Valencia, Manuel
Silva, Alvaro
Marré, Bartolomé
Treatment strategies for managing cervical spine injuries in rugby players
title Treatment strategies for managing cervical spine injuries in rugby players
title_full Treatment strategies for managing cervical spine injuries in rugby players
title_fullStr Treatment strategies for managing cervical spine injuries in rugby players
title_full_unstemmed Treatment strategies for managing cervical spine injuries in rugby players
title_short Treatment strategies for managing cervical spine injuries in rugby players
title_sort treatment strategies for managing cervical spine injuries in rugby players
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7827305/
https://www.ncbi.nlm.nih.gov/pubmed/33500821
http://dx.doi.org/10.25259/SNI_794_2020
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