The National Football Head and Neck Injury Registry. 14-year report on cervical quadriplegia, 1971 through 1984.

Data on cervical spine injuries resulting from participation in football have been compiled by a national registry. Analysis of epidemiologic data and cinematographic documentation clearly demonstrated that the majority of cervical fractures and dislocations were due to axial loading. On the basis of this observation, rule changes banning both deliberate "spearing" and the use of the top of the helmet as the initial point of contact in making a tackle were implemented at the high school and college level. Subsequently, a marked decrease in cervical spine injury rates has occurred. The occurrence of permanent cervical quadriplegia decreased from 34 in 1976 to five in the 1984 season. It is suggested that axial loading of the cervical spine is also responsible for the catastrophic injuries in diving, rugby, ice hockey, and gymnastics. Implementation of appropriate changes in playing techniques and/or equipment modifications could possibly reduce the incidence of cervical spine injuries in these activities.

[1]  O. Albrand,et al.  Underwater deceleration curves in relation to injuries from diving. , 1975, Surgical neurology.

[2]  K. Clarke.  A survey of sports-related spinal cord injuries in schools and colleges, 1973-1975 , 1977 .

[3]  Charles Tator,et al.  National survey of spinal injuries in hockey players. , 1984, Canadian Medical Association journal.

[4]  J. Torg.  Epidemiology, pathomechanics, and prevention of athletic injuries to the cervical spine. , 1985, Medicine and science in sports and exercise.

[5]  D. Green,et al.  The trampoline and serious neurological injuries. , 1960, JAMA.

[6]  T. Hoskins.  Rugby injuries to the cervical spine in English schoolboys. , 1979, The Practitioner.

[7]  Richard C. Schultz.  Athletic Injuries to the Head, Neck, and Face , 1983 .

[8]  R. Truex,et al.  Spinal injury at the level of the third and fourth cervical vertebrae from football. , 1977, The Journal of bone and joint surgery. American volume.

[9]  G M Ardran,et al.  Experimental production of forward dislocation in the human cervical spine. , 1978, The Journal of bone and joint surgery. British volume.

[10]  K. Feriencik.  Trends in Ice Hockey Injuries: 1965 to 1977. , 1979, Physician and sportsmedicine.

[11]  R. Schneider.  Serious and fatal neurosurgical football injuries. , 1964, Clinical neurosurgery.

[12]  C. G. Coin,et al.  Diving‐Type Injury of the Cervical Spine: Contribution of Computed Tomography to Management , 1979, Journal of computer assisted tomography.

[13]  Charles Tator,et al.  Diving: a frequent and potentially preventable cause of spinal cord injury. , 1981, Canadian Medical Association journal.

[14]  R. Taylor,et al.  Injuries to the cervical spine from diving accidents. , 1975, The Journal of trauma.

[15]  J S Torg,et al.  Severe and catastrophic neck injuries resulting from tackle football. , 1977, Delaware medical journal.

[16]  H. Burry,et al.  Cervical injury in rugby football--a New Zealand survey. , 1981, British journal of sports medicine.

[17]  A. Burstein,et al.  National football head and neck injury registry: report on cervical quadriplegia, 1971 to 1975 , 1979, The American journal of sports medicine.

[18]  A. Scher.  Vertex impact and cervical dislocation in rugby players. , 1981, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.

[19]  Robert Roaf,et al.  A STUDY OF THE MECHANICS OF SPINAL INJURIES , 1960 .

[20]  J S Torg,et al.  Trampoline-related quadriplegia: review of the literature and reflections on the American Academy of Pediatrics' position statement. , 1984, Pediatrics.