Return-to-Play Decisions After Cervical Spine Injuries

Ellis, Jessica L.; Gottlieb, Jamie E.

doi:10.1097/01.csmr.0000306558.11464.55

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…Other studies have divided horses with cervical stenotic myelopathy and controls into weight groups, which would decrease the variation within disease categories, and potentially make differences between these groups more likely significant. In people, certain subgroups of the population have unique dimensions of their cervical vertebrae, so a control group that is representative of the study population should be selected . In horses of different breeds this may be the same; therefore studies of cervical stenotic myelopathy should ideally evaluate each breed separately.…”

Section: Discussionmentioning

confidence: 99%

The Use of Magnetic Resonance Imaging in Evaluating Horses With Spinal Ataxia

Mitchell

Nykamp

Foster

et al. 2012

Vet Radiology Ultrasound

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To determine the accuracy of magnetic resonance imaging for diagnosing cervical stenotic myelopathy in horses, 39 horses with spinal ataxia and 20 control horses underwent clinical and neurologic examinations, cervical radiographs, euthanasia, magnetic resonance (MR) imaging of the cervical spine and necropsy. Twenty-four horses were diagnosed with cervical stenotic myelopathy, 5 with cervical vertebral stenosis, 7 with idiopathic ataxia, 3 horses had other causes of ataxia, and 20 were controls. The MR images were assessed for spinal cord intensity changes, presence of spinal cord compression, spinal cord compression direction, shape of spinal cord, and the presence of synovial cysts, joint mice, and degenerative joint disease. The height, width, and area of the spinal cord, dural tube and vertebral canal were measured. The identification of spinal cord compression on MR images was significantly different in horses with cervical stenotic myelopathy (P < 0.02), but in the cervical stenotic myelopathy group the identification of spinal cord compression on MR images had poor to slight agreement with histopathologic evidence of compression (κ = 0.05). Horses with cervical stenotic myelopathy were more likely to have a T2 hyperintensity in the spinal cord (P < 0.05). Horses with cervical stenotic myelopathy or cervical vertebral stenosis were more likely to have degenerative joint disease than control horses or horses with other or idiopathic ataxia.

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Section: Discussionmentioning

confidence: 99%

The Use of Magnetic Resonance Imaging in Evaluating Horses With Spinal Ataxia

Mitchell

Nykamp

Foster

et al. 2012

Vet Radiology Ultrasound

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“…27,42 In all guidelines, symptomatic disk herniation remains an absolute contraindication to athletic participation. 11,18,42,45 The concern is that the relative spinal or foraminal stenosis caused by an acute disk herniation places the athlete at an increased risk for further and potentially more severe cord or nerve root damage. 27 Conservative management is the first-line treatment for acute cervical disk herniation.…”

Section: Cervical Disk Herniationmentioning

confidence: 99%

Return-to-Play Recommendations After Cervical, Thoracic, and Lumbar Spine Injuries

Huang

Anissipour

McGee³

et al. 2015

Sports Health: A Multidisciplinary Approach

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Context:Currently, there is a national focus on establishing and disseminating standardized guidelines for return to play for athletes at all levels of competition. As more data become available, protocols and guidelines are being refined and implemented to assist physicians, coaches, trainers, players, and parents in making decisions about return to play. To date, no standardized criteria for returning to play exist for injuries to the spine.Evidence Acquisition:Electronic databases including PubMed and MEDLINE and professional orthopaedic, neurosurgical, and spine organizational websites were reviewed between 1980 and 2015.Study Design:Clinical review.Level of Evidence:Level 4.Results:Although clinical guidelines have been published for return to play after spine injury, they are almost exclusively derived from expert opinion and clinical experience rather than from well-designed studies. Furthermore, recommendations differ and vary depending on anatomic location, type of sport, and surgery performed.Conclusion:Despite a lack of consensus and specific recommendations, there is universal agreement that athletes should be pain free, completely neurologically intact, and have full strength and range of motion before returning to play after spinal injury.

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