Rotem T R, Lawson J S, Wilson S F, Engel S, Rutkowski S B, Aisbett C W
School of Health Services Management, Faculty of Medicine, University of NSW, Sydney.
Med J Aust. 1998 Apr 20;168(8):379-81. doi: 10.5694/j.1326-5377.1998.tb138989.x.
To determine the frequency and circumstances of serious cervical cord injuries associated with rugby union and league football in New South Wales.
Retrospective review of patients with rugby football-related cervical spinal cord injuries.
The two central spinal units in NSW, from January 1984 to July 1996.
Admission to spinal units; injury resulting in permanent tetraplegia.
During the review period, 115 rugby football players (56 union and 59 league) were admitted to the spinal units because of cervical spinal cord injuries. 49 patients had resultant permanent neurological deficits (complete tetraplegia [quadriplegia])--26 associated with rugby union and 23 with rugby league. Two patients died of injury sequelae within two weeks of admission. There was no significant change in the rate of football-related admissions to spinal units for either code. There was a small decline in the number (from 15 in 1984 to 1987 to 7 in 1992 to 1996) and incidence (from 1.2 to 0.5 per 10,000 participants) of patients with tetraplegia associated with rugby union. When this decline was tested as a trend over the years, it was found to be statistically significant (P = 0.06). No significant trend was found in the tetraplegia data associated with rugby league. Cervical spinal cord injuries leading to complete tetraplegia were most commonly associated with scrum-like plays in union and with tackles in league.
Serious cervical spinal injuries associated with both codes of rugby continue to occur in NSW. Rugby football in its various forms is still an inherently dangerous game.
确定新南威尔士州与英式橄榄球联盟和英式橄榄球联赛相关的严重颈髓损伤的发生率及情况。
对与橄榄球相关的颈髓损伤患者进行回顾性研究。
新南威尔士州的两个中央脊髓治疗单位，时间跨度为1984年1月至1996年7月。
入住脊髓治疗单位；损伤导致永久性四肢瘫痪。
在研究期间，115名橄榄球运动员（56名联盟式橄榄球运动员和59名联赛式橄榄球运动员）因颈髓损伤入住脊髓治疗单位。49名患者出现了永久性神经功能缺损（完全性四肢瘫痪）——26例与联盟式橄榄球有关，23例与联赛式橄榄球有关。两名患者在入院后两周内死于损伤后遗症。两种比赛形式的橄榄球相关患者入住脊髓治疗单位的比率均无显著变化。与联盟式橄榄球相关的四肢瘫痪患者数量（从1984年至1987年的15例降至1992年至1996年的7例）和发病率（从每10000名参与者中的1.2例降至0.5例）有小幅下降。当将这种下降作为多年来的趋势进行检验时，发现具有统计学意义（P = 0.06）。在与联赛式橄榄球相关的四肢瘫痪数据中未发现显著趋势。导致完全性四肢瘫痪的颈髓损伤在联盟式橄榄球中最常与类似争球的动作有关，在联赛式橄榄球中最常与擒抱有关。
新南威尔士州与两种橄榄球比赛形式相关的严重颈髓损伤仍在发生。各种形式的橄榄球仍然是一项本质上危险的运动。
