Cervical spinal stenosis with cord neurapraxia and transient quadriplegia

Sports Medicine
J S Torg

Abstract

Cervical cord neurapraxia is a transient, totally reversible phenomenon that results from compressive deformation of the spinal cord. It occurs as a result of developmental narrowing of the cervical canal, either as isolated entity or in combination with degenerative changes, instability or congenital abnormalities. Uncomplicated stenosis of the cervical canal in an individual with a stable spine does not predispose to permanent neurological injury. Our data does not indicate a correlation between developmental narrowing and permanent neurological sequelae in a spine rendered unstable by football-induced trauma. However, there are data indicating that the occurrence of an episode of cervical cord neurapraxia is not a harbinger, or an indication of susceptibility to permanent neurological sequelae. Nevertheless, we recommended that continued participation in collision activities be restricted in individuals who have a documented episode of cervical cord neurapraxia associated with (i) ligamentous instability; (ii) intervertebral disc disease with cord compression; (iii) significant degenerative changes; (iv) magnetic resonance imaging evidence of cord defect or swelling; (v) symptoms of positive neurological findings lasting mor...Continue Reading

Citations

May 25, 2005·British Journal of Sports Medicine·A S McIntosh, P McCrory
Aug 5, 2005·Chiropractic & Osteopathy·Henry PollardWayne Hoskins
Aug 26, 2009·Chiropractic & Osteopathy·Donald R MurphyJonathan K Gerrard
Jun 8, 2007·Journal of Brachial Plexus and Peripheral Nerve Injury·Ilan EliasAlexander R Vaccaro
Feb 22, 2011·Journal of Neurosurgery. Spine·Mark J WinderR John Hurlbert
Jul 11, 2003·Clinics in Sports Medicine·Frank P Castro
Jul 11, 2003·Clinics in Sports Medicine·David H KimScott C Berta
Mar 16, 2017·Journal of Neurosurgery. Spine·Peng-Yuan ChangHenrich Cheng
Apr 29, 2021·Current Sports Medicine Reports·Jack C CaseyAnthony S Ceraulo

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