Cervical Cord Neurapraxia

  • Frank H. ValoneIII
  • Kiehyun Daniel Riew


Cervical cord neurapraxia is a transient neurological deficit resulting from trauma to the cervical spine. Most symptoms resolve in adults within 15 min and, however, may last much longer in children. The association of cervical cord neurapraxia with cervical stenosis has been shown in many series in adults but has not been well demonstrated in children. Initial management should include immobilization, clinical exam, and radiographic evaluation. Adults that do return to their sport have at least a 50% risk of recurrence, whereas the risk of recurrence in children has not yet been established. We believe that absolute contraindications to return to play include instability or focal cord compression that cannot be resolved with surgical intervention as well as any residual weakness in a major motor group, imbalance, loss of dexterity, or other cord-related neurologic deficits.


Cervical cord neurapraxia Transient paralysis Cervical stenosis Torg ratio Athlete Return to play 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Frank H. ValoneIII
    • 1
  • Kiehyun Daniel Riew
    • 2
  1. 1.Department of Orthopaedic SurgeryCalifornia Pacific Medical CenterSan FranciscoUSA
  2. 2.Department of Orthopedic SpineNew York Presbyterian/Columbia UniversityNew YorkUSA

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