University of Miami/Jackson Health System, Miami, FL, USA.
University of Miami Miller School of Medicine, Miami, FL, USA.
Spinal Cord Ser Cases. 2020 Nov 30;6(1):106. doi: 10.1038/s41394-020-00360-8.
An analysis of reported cases.
To analyze the existing data on soccer (international football)-related spinal cord injury (SCI).
Cases of soccer (international football)-related SCI that were reported globally.
PubMed/MEDLINE, EMBASE, and online news publication databases were searched.
Fourteen cases of football-related SCI that occurred between 1976 and 2020 were found. Average age at the time of injury was 19 and 86% of individuals were males. Eight of 14 individuals had vertebral fracture/dislocation, whereas two individuals had concomitant traumatic brain injury. Neurologically, 54% had tetraplegia, 39% had paraplegia, and 8% each suffered from hemiplegia and sensory deficit. Two cases could regain ability to walk with orthosis and four had full mobility with "Return to Play" (RTP). The mortality was 14%.
Younger males were most commonly affected. The most common etiology, vertebral level of injury, and neurological manifestation was fall, cervical spine, and tetraplegia respectively. More than 50% of the individuals with football-related SCI were able to walk or RTP after rehabilitation. Further studies are required to establish universal RTP criteria and formulate preventive measures.
病例报告分析。
分析现有的与足球（国际足球）相关的脊髓损伤（SCI）数据。
全球范围内报告的与足球（国际足球）相关的 SCI 病例。
检索 PubMed/MEDLINE、EMBASE 和在线新闻出版物数据库。
共发现 1976 年至 2020 年间发生的 14 例与足球相关的 SCI。受伤时的平均年龄为 19 岁，86%的个体为男性。14 人中 8 人有椎体骨折/脱位，2 人有伴发创伤性脑损伤。神经学上，54%有四肢瘫痪，39%有截瘫，8%各有偏瘫和感觉缺失。2 例可借助矫形器恢复行走能力，4 例完全活动能力，可“重返赛场”（RTP）。死亡率为 14%。
年轻男性最常受影响。最常见的病因、损伤的椎体水平和神经表现分别是跌倒、颈椎和四肢瘫痪。超过 50%的与足球相关的 SCI 患者在康复后能够行走或重返赛场。需要进一步研究以确立普遍的 RTP 标准和制定预防措施。
