Transient Quadriparesis and Cervical Neuropraxia in Elite Athletes

Clin Sports Med. 2021 Jul;40(3):463-470. doi: 10.1016/j.csm.2021.03.003.

Abstract

Elite athletes are often faced with difficult decisions when faced with a cervical spinal disorder. There are many aspects to consider such as the risk of further injury, short- and long-term effects on an athlete's life both during and after his/her career, and the options for treatment. Although there have been some recent contributions to this topic, the evidence-based literature is generally devoid of high-level clinical studies to help guide the decision-making process. This article reviews the pertinent available data/criteria and offer an algorithm for return-to-play considerations.

Keywords: Cervical cord neurapraxia; Cervical cord neuropraxia; Cervical stenosis; Elite athlete; Professional athlete; Transient quadriparesis.

Publication types

  • Review

MeSH terms

  • Asymptomatic Diseases
  • Athletic Injuries / complications*
  • Athletic Injuries / therapy
  • Cervical Vertebrae / injuries*
  • Cervical Vertebrae / innervation
  • Clinical Decision-Making
  • Humans
  • Quadriplegia / etiology*
  • Quadriplegia / therapy
  • Return to Sport
  • Spinal Stenosis / complications
  • Spinal Stenosis / diagnosis