Spinal Cord Concussion

Definition

 

Transient disturbance of spinal cord function

- +/- vertebral column injury

- no pathological changes in spinal cord

 

Mechanism

 

Rapid change in velocity following trauma

- football / ice hockey

 

Associations

 

Congenitally narrow spinal cord

Hypermobility

 

Clinical

 

Athlete describes numbness / paralysis in arms and legs

- temporary

- passes after short time

 

NHx

 

Most resolve completely

Can have some sequelae

 

Issues

 

High risk with return to sport

 

Guidelines

 

AP canal < 10 mm

- high risk

 

Reinjury can mean quadriplegia