Return to Play for Cervical and Lumbar Spine Conditions

George W Fryhofer; Harvey E Smith

doi:10.1016/j.csm.2021.04.002

Return to Play for Cervical and Lumbar Spine Conditions

Clin Sports Med. 2021 Jul;40(3):555-569. doi: 10.1016/j.csm.2021.04.002.

Authors

George W Fryhofer¹, Harvey E Smith²

Affiliations

¹ Department of Orthopaedic Surgery, University of Pennsylvania School of Medicine, 3737 Market Street, 6th Floor, Philadelphia, PA 19104, USA.
² Department of Orthopaedic Surgery, University of Pennsylvania School of Medicine, 3737 Market Street, 6th Floor, Philadelphia, PA 19104, USA. Electronic address: harvey.smith@pennmedicine.upenn.edu.

PMID: 34051946
DOI: 10.1016/j.csm.2021.04.002

Abstract

Although the safety of contact sports has improved over the years, participation in any sport always carries a risk of injury. When cervical or lumbar spine injuries do occur, prompt diagnosis is essential, and athletes must be held out of the sport if indicated to prevent further harm and allow for recovery. This article highlights some of the most common cervical spine pathologies (stinger/burners, strain, stenosis/cord neuropraxia, disc herniation, and fracture/instability) and lumbar spine pathologies (strain, disc degeneration, disc herniation, fracture, spondylolysis/spondylolisthesis, and scoliosis) encountered in sports and reviews the associated return to play guidelines and expectations for each condition.

Keywords: Athlete; Cervical spine; Lumbar spine; Return to play; Spinal cord injury; Sports.

Publication types

Review

MeSH terms

Athletic Injuries / diagnosis*
Athletic Injuries / therapy*
Cervical Vertebrae / injuries*
Clinical Decision-Making
Humans
Lumbar Vertebrae / injuries*
Return to Sport*
Spinal Diseases / diagnosis*
Spinal Diseases / therapy*