A high school football player gets in trouble for tackling players head-on. On lateral view of the neck in neutral alignment, you note developmental narrowing of the cervical spine canal as well as straightening of the normal cervical lordotic curve.
Challenge: What is this injury, first described in 1993?
Image shown under Creative Commons Attribution Share-Alike License, from Wikipedia.
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Teenagers (sigh)
This is called spear tackler’s spine from repeated axial loading and microtrauma. There is a risk of permanent neurologic injury and the patient should be excluded from contact sports until return of normal cervical lordosis with physical therapy.
Source: UpToDate.
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