Catastrophic cervical spinal injury in an amateur college wrestler

BMJ Case Rep, 2017 · DOI: 10.1136/bcr-2017-220260 · Published: June 28, 2017

Spinal Cord Injury Orthopedics Research Methodology & Design

Simple Explanation

This case report describes a young wrestler who suffered a severe spinal injury during a wrestling practice, leading to complete paralysis of his lower limbs. The injury occurred because he lacked proper training and technique. The patient received surgery to stabilize his spine and underwent rehabilitation. However, after six months, there were no signs of neurological recovery, and he remained confined to a wheelchair. The authors emphasize the need for better training, infrastructure, and awareness regarding spinal injuries in high-contact sports to prevent such devastating outcomes.

Study Duration

6 months follow-up

Participants

A 19-year-old male amateur wrestler

Evidence Level

Case Report

Key Findings

1
The young wrestler sustained a C7 burst fracture with complete paraplegia due to inadequate wrestling training and technique.
2
Lack of structured training, proper coaching, and awareness about potential injuries contributed to the severity of the spinal injury.
3
Despite surgical intervention and rehabilitation, no neurological recovery was observed at the 6-month follow-up, highlighting the potential for permanent disability.

Research Summary

A young amateur wrestler presented with a burst fracture of the seventh cervical vertebra with complete paraplegia. Adolescents and teenagers are indulging in high-contact sports like wrestling, without proper training and technical know-how, which can lead to severe injuries and possibly, permanent handicap or death. Specialised spinal centres should be established throughout the country for management and rehabilitation of patients with paraplegia.

Practical Implications

Improved Training and Infrastructure

Training institutions should improve their infrastructure, provide adequate coaching, and ensure medical support during sports activities.

Increased Awareness and Education

Athletes, coaches, and the public need to be educated about first aid methods and proper transportation techniques for patients with cervical spine injuries.

Establishment of Spinal Centers

Specialized spinal centers should be established across the country to provide comprehensive management and rehabilitation for patients with spinal injuries.

Study Limitations

1
This is a single case report, limiting generalizability.
2
Lack of a spinal injury registry in India makes it difficult to assess the true incidence and severity of sports-related spinal injuries.
3
The study only followed the patient for 6 months, which may not be sufficient to assess long-term outcomes.

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