{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T23:51:40Z","timestamp":1772236300532,"version":"3.50.1"},"reference-count":7,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Cervical spine fractures are potentially catastrophic injuries in rugby players. Here, we reviewed seven patients who sustained rugby-related cervical spine fractures. Notably, three of seven fractures were missed on initial X-rays, but were ultimately documented on CT studies obtained an average of 10 days later.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>Seven patients sustained cervical spine fracture attributed to rugby (2009\u20132016) and were followed an average of 52 posttrauma months. Most injuries occurred at the C6-C7 level, and six of seven patients required surgery. Further, only two of seven patients exhibited resultant neurological deficits (e.g., one myelopathy and one radiculopathy).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>Although the rugby injury was sufficiently documented on initial X-rays in four patients, three initial X-rays missed fractures, which were documented on the CT studies obtained an average of 10 days later.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Rugby-related cervical fractures must be considered where players continue to complain of pain following trauma. Notably, routine X-rays may miss fractures in 3 of 7 cases (43%), thus warranting supplemental CT examinations to definitively rule out fractures.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_794_2020","type":"journal-article","created":{"date-parts":[[2021,1,5]],"date-time":"2021-01-05T11:35:31Z","timestamp":1609846531000},"page":"6","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Treatment strategies for managing cervical spine injuries in rugby players"],"prefix":"10.25259","volume":"12","author":[{"given":"Ratko","family":"Yurac","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Jose","family":"Zamorano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guisela","family":"Quinteros","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillermo","family":"Izquierdo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe","family":"Novoa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roc\u00edo","family":"Bra\u00f1es","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Valencia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alvaro","family":"Silva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bartolom\u00e9","family":"Marr\u00e9","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,1,5]]},"reference":[{"key":"10.25259\/SNI_794_2020\/ref-1","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1136\/bjsports-2012-091257","article-title":"Mechanisms of cervical spine injury in rugby union: Is it premature to abandon hyperflexion as the main mechanism underpinning injury?","volume":"46","author":"Dennison","year":"2012","journal-title":"Br J Sports Med"},{"key":"10.25259\/SNI_794_2020\/ref-2","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1055\/s-0036-1586744","article-title":"Catastrophic cervical spine injuries in contact sports","volume":"6","author":"Hutton","year":"2016","journal-title":"Global Spine J"},{"key":"10.25259\/SNI_794_2020\/ref-3","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1007\/s40279-019-01176-9","article-title":"Injury risk in New Zealand rugby union: A nationwide study of injury insurance claims from 2005 to 2017","volume":"50","author":"Quarrie","year":"2020","journal-title":"Sports Med"},{"key":"10.25259\/SNI_794_2020\/ref-4","doi-asserted-by":"crossref","first-page":"633","DOI":"10.2165\/00007256-200232100-00003","article-title":"Rugby union injuries to the cervical spine and spinal cord","volume":"32","author":"Quarrie","year":"2002","journal-title":"Sports Med"},{"key":"10.25259\/SNI_794_2020\/ref-5","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1302\/0301-620X.88B6.17388","article-title":"Spinal injuries in Irish rugby: A ten-year review","volume":"88","author":"Shelly","year":"2006","journal-title":"J Bone Joint Surg Br"},{"key":"10.25259\/SNI_794_2020\/ref-6","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.jsams.2010.10.460","article-title":"Incidence and severity of neck injury in Rugby Union: A systematic review","volume":"14","author":"Swain","year":"2011","journal-title":"J Sci Med Sport"},{"key":"10.25259\/SNI_794_2020\/ref-7","first-page":"519","article-title":"Spine Injuries in Sports","volume-title":"Orthopaedic Knowledge Update","author":"Vives","year":"2017"}],"container-title":["Surgical Neurology 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