Abstract

Data on cervical spine injuries resulting from participation in football have been compiled by a national registry established in 1975. Information has beencollected retrospectively by defined criteria since 1971. Efforts have been made to establish the mechanism of injury responsible in the majority of instances on the basis of epidemiologic evidence and recognized biomechanical principles. During the 5-year period, 77 deaths resulted from severe neck injuries. During this period, 1,275,000 players were exposed. Ninty-nine cervical fracture-dislocations resulting in permanent quadriplegia and 259 cervical fractures-dislocations occurred. There may be a trend torwards an increase in permanent quadriplegia resulting from serious cervical spine injuries sustained while playing football, Apparently, the cause can be attributedto the helmet-face mask that has encouraged the use of the head as the primarypoint of contact in blocking, tackling, and head butting. The figures clearly identify defensive backs, linebackers, or specially team members making tackles by using the head as the initial point of contact, as the individuals at greatest risk to sustain cervical spine injuries resulting in permanent quadriplegia. Verf.-Referat