Rugby and cervical spine injuries - has anything changed : a 5-year review in the Western Cape

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dc.contributor.author Dunn, Robert Neil
dc.contributor.author Van der Spuy, Dirk
dc.date.accessioned 2011-03-18T14:56:50Z
dc.date.available 2011-03-18T14:56:50Z
dc.date.issued 2010
dc.identifier.citation Dunn, R.N. & van der Spuy, D. 2010, Rugby and cervical spine injuries - has anything changed : a 5-year review in the Western Cape, SA Medical Journal, 100(4), 235-238, http://www.samj.org.za/index.php/samj
dc.identifier.issn 0256-9574 (print)
dc.identifier.issn 2078-5135 (online)
dc.identifier.uri http://hdl.handle.net/10019.1/7018
dc.description Article
dc.description The original publication is available at http://www.samj.org.za
dc.description Bibliography
dc.description.abstract Objectives. To review the incidence of all rugby-associated cervical spine injuries in the Western Cape and identify risk factors. Methods. We reviewed case notes and X-rays of 27 male patients with rugby-related cervical spine injuries treated at the acute spinal injury (ASCI) unit at Groote Schuur Hospital from April 2003 to June 2008, and followed up with telephone interviews. Patient profile, rugby profile, subsequent injury management from the field to definitive surgery and neurological status on admission, discharge and follow-up using the American Spinal Injury Association (ASIA) classification were assessed. Results. Average patient age was 25.3 years; 19% of them were scholars. The highest level of education among the adults was primary school in 70% of cases. Forwards and backs had the same injury rate. Most injuries occurred outside the metropole; more occurred in the tackling phase; 39% occurred during foul play; a third of players were not stabilised with a collar on the field; and 65% were taken to an inappropriate primary contact centre. A median of 10 hours elapsed before admission to the ASCI unit. Facet dislocations occurred in 59%; 8 presented neurologically complete and remained so; and 3 presented with residual sensation, with 2 improving to normal. Three presented as ASIA C improving to D, and all Ds improved to Es. Despite their injuries, 60% said they would advise their sons to play rugby. Only 22% regretted playing. Conclusions. Despite a reduction in cervical spine injuries in rugby in the Western Cape, the latter mostly occur outside the metropole, where levels of education are lower, foul play is more often associated with the injury, and rapid access to medical care is generally unavailable. en_ZA
dc.format.extent p. 235-238
dc.language.iso en_ZA
dc.publisher Health and Medical Publishing Group (HMPG)
dc.subject Spine injuries in rugby players -- Diagnosis -- South Africa -- Western Cape -- Case studies en_ZA
dc.subject Cervical spine injuries -- Treatment en_ZA
dc.subject Cervical spine injuries -- Diagnosis en_ZA
dc.subject Spinal fractures in rugby players -- Diagnosis -- South Africa -- Western Cape -- Case studies
dc.subject Adolescent rugby players -- Risk factors en_ZA
dc.title Rugby and cervical spine injuries - has anything changed : a 5-year review in the Western Cape en_ZA
dc.type Article
dc.description.version Publishers' version
dc.rights.holder Health and Medical Publishing Group (HMPG)


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