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Spine Injuries

  • J. W. M. Van GoethemEmail author
  • M. Faure
  • C. Venstermans
  • L. van den Hauwe
  • F. De Belder
  • P. M. Parizel
  • Johannes (Hans) Zwerver

Abstract

When participating in sport and exercise activities, various – often age-dependent – injuries to any part of the spine are possible. The neck is most commonly injured in sports that involve contact, which place the cervical spine at risk of injury, in some cases with catastrophic consequences. The thoracic spine is less likely to be injured because it is relatively immobile and has extra support, but M. Scheuermann can lead to symptoms. The lower back is subject to a great deal of repetitive strain in many sports, which can result in nonspecific lumbago or more specific lumbar spine conditions, like spondylolysis and spondylolisthesis, disk disease, and lumbar stenosis which need further clinical and radiological investigation. This chapter describes the most common acute and chronic sports-related injuries of the spine.

Keywords

Spinal Cord Injury Cervical Spine Intervertebral Disk Spinal Injury Compression Fracture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Afshani E, Kuhn JP (1991) Common causes of low back pain in children. Radiographics 11(2):269–291. doi: 10.1148/radiographics.11.2.1827529 CrossRefPubMedGoogle Scholar
  2. Alexander MJ (1985) Biomechanical aspects of lumbar spine injuries in athletes: a review. Can J Appl Sport Sci 10(1):1–20PubMedGoogle Scholar
  3. Amorim EC, Vetter H, Mascarenhas LB, Gomes EG, Carvalho JB, Gomes JF (2011) Spine trauma due to diving: main features and short-term neurological outcome. Spinal Cord 49(2):206–210. doi: 10.1038/sc.2010.79 CrossRefPubMedGoogle Scholar
  4. Baranto A, Hellstrom M, Sward L (2010) Acute injury of an intervertebral disc in an elite tennis player: a case report. Spine 35(6):E223–E227. doi: 10.1097/BRS.0b013e3181bf12b5 CrossRefPubMedGoogle Scholar
  5. Bennett DL, Nassar L, DeLano MC (2006) Lumbar spine MRI in the elite-level female gymnast with low back pain. Skeletal Radiol 35(7):503–509. doi: 10.1007/s00256-006-0083-7 CrossRefPubMedGoogle Scholar
  6. Boran S, Lenehan B, Street J, McCormack D, Poynton A (2011) A 10-year review of sports-related spinal injuries. Ir J Med Sci 180(4):859–863. doi: 10.1007/s11845-011-0730-4 CrossRefPubMedGoogle Scholar
  7. Borg-Stein J, Elson L, Brand E (2012) The aging spine in sports. Clin Sports Med 31(3):473–486. doi: 10.1016/j.csm.2012.03.002 CrossRefPubMedGoogle Scholar
  8. Borius PY, Gouader I, Bousquet P, Draper L, Roux FE (2010) Cervical spine injuries resulting from diving accidents in swimming pools: outcome of 34 patients. Eur Spine J 19(4):552–557. doi: 10.1007/s00586-009-1230-3 PubMedCentralCrossRefPubMedGoogle Scholar
  9. Brolinson PG, Kozar AJ, Cibor G (2003) Sacroiliac joint dysfunction in athletes. Curr Sports Med Rep 2(1):47–56CrossRefPubMedGoogle Scholar
  10. Brooks BK, Southam SL, Mlady GW, Logan J, Rosett M (2010) Lumbar spine spondylolysis in the adult population: using computed tomography to evaluate the possibility of adult onset lumbar spondylosis as a cause of back pain. Skeletal Radiol 39(7):669–673. doi: 10.1007/s00256-009-0825-4 CrossRefPubMedGoogle Scholar
  11. Cantu RC, Mueller FO (2003) Catastrophic spine injuries in american football, 1977-2001. Neurosurgery 53(2):358–362; discussion 362–363CrossRefPubMedGoogle Scholar
  12. Capel A, Medina FS, Medina D, Gomez S (2009) Magnetic resonance study of lumbar disks in female dancers. Am J Sports Med 37(6):1208–1213. doi: 10.1177/0363546508330128 CrossRefPubMedGoogle Scholar
  13. Chao S, Pacella MJ, Torg JS (2010) The pathomechanics, pathophysiology and prevention of cervical spinal cord and brachial plexus injuries in athletics. Sports Med 40(1):59–75. doi: 10.2165/11319650-000000000-00000 CrossRefPubMedGoogle Scholar
  14. Clarsen B, Krosshaug T, Bahr R (2010) Overuse injuries in professional road cyclists. Am J Sports Med 38(12):2494–2501. doi: 10.1177/0363546510376816 CrossRefPubMedGoogle Scholar
  15. Cupisti A, D’Alessandro C, Evangelisti I, Piazza M, Galetta F, Morelli E (2004) Low back pain in competitive rhythmic gymnasts. J Sports Med Phys Fitness 44(1):49–53PubMedGoogle Scholar
  16. Dekker R, Groothoff JW, Eisma WH, ten Duis HJ (2003) Clinical treatment of equestrian injuries in groningen, 1990-1998: serious long-term effects. [Klinisch behandelde paardrijletsels in Groningen, 1990–1998: ernstige langetermijngevolgen]. Ned Tijdschr Geneeskd 147(5):204–208PubMedGoogle Scholar
  17. Dreisinger TE, Nelson B (1996) Management of back pain in athletes. Sports Med 21(4):313–320CrossRefPubMedGoogle Scholar
  18. Elliott BC (2000) Back injuries and the fast bowler in cricket. J Sports Sci 18(12):983–991. doi: 10.1080/026404100446784 CrossRefPubMedGoogle Scholar
  19. Elliott B, Khangure M (2002) Disk degeneration and fast bowling in cricket: an intervention study. Med Sci Sports Exerc 34(11):1714–1718. doi: 10.1249/01.MSS.0000036863.74140.90 CrossRefPubMedGoogle Scholar
  20. Engstrom CM, Walker DG (2007) Pars interarticularis stress lesions in the lumbar spine of cricket fast bowlers. Med Sci Sports Exerc 39(1):28–33. doi: 10.1249/01.mss.0000241642.82725.ac CrossRefPubMedGoogle Scholar
  21. Fanucci E, Masala S, Fasoli F, Cammarata R, Squillaci E, Simonetti G (2002) Cineradiographic study of spine during cycling: effects of changing the pedal unit position on the dorso-lumbar spine angle. Radiol Med 104(5–6):472–476PubMedGoogle Scholar
  22. Floyd T (2001) Alpine skiing, snowboarding, and spinal trauma. Arch Orthop Trauma Surg 121(8):433–436CrossRefPubMedGoogle Scholar
  23. Gottschlich LM, Young CC (2011) Spine injuries in dancers. Curr Sports Med Rep 10(1):40–44. doi: 10.1249/JSR.0b013e318205e08b CrossRefPubMedGoogle Scholar
  24. Gregory PL, Batt ME, Kerslake RW (2004) Comparing spondylolysis in cricketers and soccer players. Br J Sports Med 38(6):737–742, doi:38/6/737 [pii]PubMedCentralCrossRefPubMedGoogle Scholar
  25. Harringe ML, Nordgren JS, Arvidsson I, Werner S (2007) Low back pain in young female gymnasts and the effect of specific segmental muscle control exercises of the lumbar spine: a prospective controlled intervention study. Knee Surg Sports Traumatol Arthrosc 15(10):1264–1271. doi: 10.1007/s00167-007-0289-9 CrossRefPubMedGoogle Scholar
  26. Haus BM, Micheli LJ (2012) Back pain in the pediatric and adolescent athlete. Clin Sports Med 31(3):423–440. doi: 10.1016/j.csm.2012.03.011 CrossRefPubMedGoogle Scholar
  27. Hessler C, Eckert V, Meiners J, Jurgens C, Reicke B, Matthes G, Ekkernkamp A, Puschel K (2014) Causes, injuries, therapy and possibilities of prevention of equine-related accidents. Results of a 2-center-study [Ursachen, Verletzungen, Therapie und Praventionsmoglichkeiten von Unfallen im Reitsport. Ergebnisse einer 2-Center-Studie]. Unfallchirurg 117(2):123–127. doi: 10.1007/s00113-012-2275-z CrossRefPubMedGoogle Scholar
  28. Hipp E, von Gumppenberg S, Hackenbruch W, Kircher E (1977) Fracture of the vertebrae due to riding accidents. [Die Wirbelfraktur als Reitunfall]. Fortschr Med 95(24):1567–1571PubMedGoogle Scholar
  29. Hjelm N, Werner S, Renstrom P (2010) Injury profile in junior tennis players: a prospective two year study. Knee Surg Sports Traumatol Arthrosc 18(6):845–850. doi: 10.1007/s00167-010-1094-4 CrossRefPubMedGoogle Scholar
  30. Hosea TM, Gatt CJ Jr (1996) Back pain in golf. Clin Sports Med 15(1):37–53PubMedGoogle Scholar
  31. Hutson MA, Speed C (2010) Sports injuries, New edn. Oxford University Press, OxfordGoogle Scholar
  32. Issack PS, Cunningham ME, Pumberger M, Hughes AP, Cammisa FP Jr (2012) Degenerative lumbar spinal stenosis: evaluation and management. J Am Acad Orthop Surg 20(8):527–535. doi: 10.5435/JAAOS-20-08-527 CrossRefPubMedGoogle Scholar
  33. Kang DH, Lee SH (2009) Multiple spinous process fractures of the thoracic vertebrae (clay-shoveler’s fracture) in a beginning golfer: a case report. Spine 34(15):E534–E537. doi: 10.1097/BRS.0b013e3181a983bb CrossRefPubMedGoogle Scholar
  34. Kawasaki S, Imai S, Inaoka H, Masuda T, Ishida A, Okawa A, Shinomiya K (2005) The lower lumbar spine moment and the axial rotational motion of a body during one-handed and double-handed backhand stroke in tennis. Int J Sports Med 26(8):617–621. doi: 10.1055/s-2004-830338 CrossRefPubMedGoogle Scholar
  35. Kim DH, Vaccaro AR, Berta SC (2003) Acute sports-related spinal cord injury: contemporary management principles. Clin Sports Med 22(3):501–512CrossRefPubMedGoogle Scholar
  36. Kim SY, Chung SK, Kim DY (2012) Multiple cervical spinous process fractures in a novice golf player. J Korean Neurosurg Soc 52(6):570–573. doi: 10.3340/jkns.2012.52.6.570 PubMedCentralCrossRefPubMedGoogle Scholar
  37. Kingma I, Faber GS, Suwarganda EK, Bruijnen TB, Peters RJ, van Dieen JH (2006) Effect of a stiff lifting belt on spine compression during lifting. Spine 31(22):E833–E839. doi: 10.1097/01.brs.0000240670.50834.77 CrossRefPubMedGoogle Scholar
  38. Kondric M, Matkovic BR, Furjan-Mandic G, Hadzic V, Dervisevic E (2011) Injuries in racket sports among slovenian players. Coll Antropol 35(2):413–417PubMedGoogle Scholar
  39. Korres DS, Benetos IS, Themistocleous GS, Mavrogenis AF, Nikolakakos L, Liantis PT (2006) Diving injuries of the cervical spine in amateur divers. Spine J 6(1):44–49, doi:S1529-9430(05)00739-4 [pii]CrossRefPubMedGoogle Scholar
  40. Krabak BJ, Kanarek SL (2011) Cervical spine pain in the competitive athlete. Phys Med Rehabil Clin N Am 22(3):459–471, viii. doi:10.1016/j.pmr.2011.02.007Google Scholar
  41. Kraft CN, Pennekamp PH, Becker U, Young M, Diedrich O, Luring C, von Falkenhausen M (2009) Magnetic resonance imaging findings of the lumbar spine in elite horseback riders: correlations with back pain, body mass index, trunk/leg-length coefficient, and riding discipline. Am J Sports Med 37(11):2205–2213. doi: 10.1177/0363546509336927 CrossRefPubMedGoogle Scholar
  42. Kruse D, Lemmen B (2009) Spine injuries in the sport of gymnastics. Curr Sports Med Rep 8(1):20–28. doi: 10.1249/JSR.0b013e3181967ca6 CrossRefPubMedGoogle Scholar
  43. Kuster D, Gibson A, Abboud R, Drew T (2012) Mechanisms of cervical spine injury in rugby union: a systematic review of the literature. Br J Sports Med 46(8):550–554. doi: 10.1136/bjsports-2011-090360 CrossRefPubMedGoogle Scholar
  44. Lee JY, Whang PG, Lee JY, Phillips FM, Patel AA (2013) Lumbar spinal stenosis. Instr Course Lect 62:383–396PubMedGoogle Scholar
  45. Leone A, Cianfoni A, Cerase A, Magarelli N, Bonomo L (2011) Lumbar spondylolysis: a review. Skeletal Radiol 40(6):683–700. doi: 10.1007/s00256-010-0942-0 CrossRefPubMedGoogle Scholar
  46. Levy AS, Smith RH (2000) Neurologic injuries in skiers and snowboarders. Semin Neurol 20(2):233–245. doi: 10.1055/s-2000-9833 CrossRefPubMedGoogle Scholar
  47. Lim YT, Chow JW, Chae WS (2012) Lumbar spinal loads and muscle activity during a golf swing. Sports Biomech 11(2):197–211CrossRefPubMedGoogle Scholar
  48. Lin CY, Wright J, Bushnik T, Shem K (2011) Traumatic spinal cord injuries in horseback riding: a 35-year review. Am J Sports Med 39(11):2441–2446. doi: 10.1177/0363546511419280 CrossRefPubMedGoogle Scholar
  49. Lindsay D, Horton J (2002) Comparison of spine motion in elite golfers with and without low back pain. J Sports Sci 20(8):599–605. doi: 10.1080/026404102320183158 CrossRefPubMedGoogle Scholar
  50. Loud KJ, Micheli LJ (2001) Common athletic injuries in adolescent girls. Curr Opin Pediatr 13(4):317–322CrossRefPubMedGoogle Scholar
  51. Lowe TG, Line BG (2007) Evidence based medicine: analysis of scheuermann kyphosis. Spine 32(19 Suppl):S115–S119. doi: 10.1097/BRS.0b013e3181354501 CrossRefPubMedGoogle Scholar
  52. Macnab AJ, Smith T, Gagnon FA, Macnab M (2002) Effect of helmet wear on the incidence of head/face and cervical spine injuries in young skiers and snowboarders. Inj Prev 8(4):324–327PubMedCentralCrossRefPubMedGoogle Scholar
  53. Mall NA, Buchowski J, Zebala L, Brophy RH, Wright RW, Matava MJ (2012) Spine and axial skeleton injuries in the national football league. Am J Sports Med 40(8):1755–1761. doi: 10.1177/0363546512448355 CrossRefPubMedGoogle Scholar
  54. Mautner KR, Huggins MJ (2012) The young adult spine in sports. Clin Sports Med 31(3):453–472. doi: 10.1016/j.csm.2012.03.007 CrossRefPubMedGoogle Scholar
  55. Maxfield BA (2010) Sports-related injury of the pediatric spine. Radiol Clin North Am 48(6):1237–1248. doi: 10.1016/j.rcl.2010.07.006 CrossRefPubMedGoogle Scholar
  56. McGoldrick NP, Green C, Burke N, Synnott K (2012) Acute traumatic spinal injury following bicycle accidents: a report of three cases. Acta Orthop Belg 78(3):409–413PubMedGoogle Scholar
  57. McRae R, Esser M (2008) Practical fracture treatment, 5th edn. Churchill Livingstone, Edinburgh/New YorkGoogle Scholar
  58. McTimoney CA, Micheli LJ (2003) Current evaluation and management of spondylolysis and spondylolisthesis. Curr Sports Med Rep 2(1):41–46CrossRefPubMedGoogle Scholar
  59. Mefford J, Sairyo K, Sakai T, Hopkins J, Inoue M, Amari R, Bhatia NN, Dezawa A, Yasui N (2011) Modic type I changes of the lumbar spine in golfers. Skeletal Radiol 40(4):467–473. doi: 10.1007/s00256-010-1066-2 PubMedCentralCrossRefPubMedGoogle Scholar
  60. Mehnert MJ, Agesen T, Malanga GA (2005) “Heading” and neck injuries in soccer: a review of biomechanics and potential long-term effects. Pain Physician 8(4):391–397PubMedGoogle Scholar
  61. Mellion MB (1991) Common cycling injuries. Management and prevention. Sports Med 11(1):52–70CrossRefPubMedGoogle Scholar
  62. Micheli LJ, Wood R (1995) Back pain in young athletes. Significant differences from adults in causes and patterns. Arch Pediatr Adolesc Med 149(1):15–18CrossRefPubMedGoogle Scholar
  63. Patrick N, Emanski E, Knaub MA (2014) Acute and chronic low back pain. Med Clin North Am 98(4):777–789, doi:S0025-7125(14)00044-3 [pii]CrossRefPubMedGoogle Scholar
  64. Prall JA, Winston KR, Brennan R (1995) Spine and spinal cord injuries in downhill skiers. J Trauma 39(6):1115–1118CrossRefPubMedGoogle Scholar
  65. Quinn S, Bird S (1996) Influence of saddle type upon the incidence of lower back pain in equestrian riders. Br J Sports Med 30(2):140–144PubMedCentralCrossRefPubMedGoogle Scholar
  66. Rihn JA, Anderson DT, Lamb K, Deluca PF, Bata A, Marchetto PA, Neves N, Vaccaro AR (2009) Cervical spine injuries in american football. Sports Med 39(9):697–708. doi: 10.2165/11315190-000000000-00000 CrossRefPubMedGoogle Scholar
  67. Ristolainen L, Kettunen JA, Heliovaara M, Kujala UM, Heinonen A, Schlenzka D (2012) Untreated scheuermann’s disease: a 37-year follow-up study. Eur Spine J 21(5):819–824. doi: 10.1007/s00586-011-2075-0 PubMedCentralCrossRefPubMedGoogle Scholar
  68. Roe JP, Taylor TK, Edmunds IA, Cumming RG, Ruff SJ, Plunkett-Cole MD, Mikk M, Jones RF (2003) Spinal and spinal cord injuries in horse riding: the New South Wales experience 1976–1996. ANZ J Surg 73(5):331–334, doi:2618 [pii]CrossRefPubMedGoogle Scholar
  69. Rossi F (1978) Spondylolysis, spondylolisthesis and sports. J Sports Med Phys Fitness 18(4):317–340PubMedGoogle Scholar
  70. Sarwark JF, American Academy of Orthopaedic Surgeons, & American Academy of Pediatrics (2010) Essentials of musculoskeletal care, 4th edn. American Academy of Orthopaedic Surgeons, RosemountGoogle Scholar
  71. Schueller G (2010) Mountain biking: Breezy ups and traumatic downs. [Mountainbiking Luftige Hohen und traumatische Tiefen]. Radiologe 50(5):460–470. doi: 10.1007/s00117-009-1940-x CrossRefPubMedGoogle Scholar
  72. Siebenga J, Segers MJ, Elzinga MJ, Bakker FC, Haarman HJ, Patka P (2006) Spine fractures caused by horse riding. Eur Spine J 15(4):465–471. doi: 10.1007/s00586-005-1012-5 PubMedCentralCrossRefPubMedGoogle Scholar
  73. Siewe J, Rudat J, Rollinghoff M, Schlegel UJ, Eysel P, Michael JW (2011) Injuries and overuse syndromes in powerlifting. Int J Sports Med 32(9):703–711. doi: 10.1055/s-0031-1277207 CrossRefPubMedGoogle Scholar
  74. Silva P, Vaidyanathan S, Kumar BN, Soni BM, Sett P (2006) Two case reports of cervical spinal cord injury in football (soccer) players. Spinal Cord 44(6):383–385, doi:3101839 [pii]CrossRefPubMedGoogle Scholar
  75. Silver JR (2002) Spinal injuries resulting from horse riding accidents. Spinal Cord 40(6):264–271. doi: 10.1038/sj.sc.3101280 CrossRefPubMedGoogle Scholar
  76. Solomonow M, Zhou BH, Baratta RV, Lu Y, Harris M (1999) Biomechanics of increased exposure to lumbar injury caused by cyclic loading: Part 1. Loss of reflexive muscular stabilization. Spine 24(23):2426–2434CrossRefPubMedGoogle Scholar
  77. Standaert CJ, Herring SA (2009) Expert opinion and controversies in musculoskeletal and sports medicine: stingers. Arch Phys Med Rehabil 90(3):402–406. doi: 10.1016/j.apmr.2008.09.569 CrossRefPubMedGoogle Scholar
  78. Stover SL, Fine PR (1987) The epidemiology and economics of spinal cord injury. Paraplegia 25(3):225–228. doi: 10.1038/sc.1987.40 CrossRefPubMedGoogle Scholar
  79. Sutcliffe J, Ly JQ, Kirby A, Beall DP (2008) Magnetic resonance imaging findings of golf-related injuries. Curr Probl Diagn Radiol 37(5):231–241. doi: 10.1067/j.cpradiol.2007.08.005 CrossRefPubMedGoogle Scholar
  80. Tator CH, Provvidenza CF, Lapczak L, Carson J, Raymond D (2004) Spinal injuries in canadian ice hockey: documentation of injuries sustained from 1943-1999. Can J Neurol Sci 31(4):460–466CrossRefPubMedGoogle Scholar
  81. Vad VB, Bhat AL, Basrai D, Gebeh A, Aspergren DD, Andrews JR (2004) Low back pain in professional golfers: the role of associated hip and low back range-of-motion deficits. Am J Sports Med 32(2):494–497CrossRefPubMedGoogle Scholar
  82. Videman T, Battie MC, Gibbons LE, Manninen H, Gill K, Fisher LD, Koskenvuo M (1997) Lifetime exercise and disk degeneration: an MRI study of monozygotic twins. Med Sci Sports Exerc 29(10):1350–1356CrossRefPubMedGoogle Scholar
  83. Yamakawa H, Murase S, Sakai H, Iwama T, Katada M, Niikawa S, Sumi Y, Nishimura Y, Sakai N (2001) Spinal injuries in snowboarders: risk of jumping as an integral part of snowboarding. J Trauma 50(6):1101–1105CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • J. W. M. Van Goethem
    • 1
    Email author
  • M. Faure
    • 1
  • C. Venstermans
    • 1
  • L. van den Hauwe
    • 1
  • F. De Belder
    • 1
  • P. M. Parizel
    • 1
  • Johannes (Hans) Zwerver
    • 2
  1. 1.Department of RadiologyUniversity of AntwerpAntwerpBelgium
  2. 2.University Center for Sports, Exercise and Health, Center for Sports Medicine, University Medical Center Groningen, University of GroningenGroningenThe Netherlands

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