{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T01:53:39Z","timestamp":1791597219721,"version":"4.3.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2011,3,28]],"date-time":"2011-03-28T00:00:00Z","timestamp":1301270400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sports Health: A Multidisciplinary Approach"],"published-print":{"date-parts":[[2011,5]]},"abstract":"<jats:p>A 21-year-old division I collegiate football player who had a history of several stingers presented with 5 days of persistent left neck and shoulder pain associated with paresthesias and upper extremity weakness. His symptoms began immediately during a game when he was struck on the right side of his helmet, which induced a compression-extension mechanism of injury to his neck. Clinical and electrodiagnostic evaluation was consistent with a left C5 radiculopathy, but magnetic resonance imaging of the cervical spine yielded normal results. The mean subaxial cervical space available for the cord (MSCSAC) index is a novel tool to predict chronic stinger syndrome. It is calculated by subtracting the sagittal diameter of the spinal cord from the disc-level sagittal diameter of the spinal canal at levels C3 through C6 and then averaging these values. A cutoff of &lt; 4.3 mm has been shown to predict a greater-than-13-fold increase in risk of developing chronic stinger syndrome. This patient had a MSCSAC index of 3.2 mm, which correlated with his history of multiple stingers. The MSCSAC index may be a useful tool to help counsel athletes on the risk of developing future stingers, although more extensive research on this measurement tool is indicated.<\/jats:p>","DOI":"10.1177\/1941738111403866","type":"journal-article","created":{"date-parts":[[2011,3,28]],"date-time":"2011-03-28T23:57:43Z","timestamp":1301356663000},"page":"264-267","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Predicting Chronic Stinger Syndrome Using the Mean Subaxial Space Available for the Cord Index"],"prefix":"10.1177","volume":"3","author":[{"given":"Jared","family":"Greenberg","sequence":"first","affiliation":[{"name":"Uiversity of Michigan, Ann Arbor, Michigan\u00a0  \u00a0jaredgre@yahoo.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Leung","sequence":"additional","affiliation":[{"name":"Uiversity of Michigan, Ann Arbor, Michigan\u00a0"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"Kendall","sequence":"additional","affiliation":[{"name":"Uiversity of Michigan, Ann Arbor, Michigan\u00a0"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,3,28]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658501300301"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(02)00094-7"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500503"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199009050-00005"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199106001-00001"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-003-0623-y"},{"issue":"7","key":"atypb7","first-page":"2035","volume":"60","year":"1999","journal-title":"Am Fam Physician"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500114"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200202"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1177\/036354659001800510"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.164.3.3615879"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.3171\/2009.3.SPINE08642"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.2165\/11315190-000000000-00000"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e31817f016a"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200201150-00007"},{"key":"atypb16","first-page":"321","volume":"20","year":"1992","journal-title":"Exerc Sport Sci Rev"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1997.87.6.0843"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199609000-00003"}],"container-title":["Sports Health: A Multidisciplinary Approach"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1941738111403866","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1941738111403866","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:37:43Z","timestamp":1777588663000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1941738111403866"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,3,28]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,5]]}},"alternative-id":["10.1177\/1941738111403866"],"URL":"https:\/\/doi.org\/10.1177\/1941738111403866","relation":{},"ISSN":["1941-7381","1941-0921"],"issn-type":[{"value":"1941-7381","type":"print"},{"value":"1941-0921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,3,28]]}}}