Evid Based Spine Care J 2012; 3(2): 43-48
DOI: 10.1055/s-0031-1298617
Case report
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Spinal fractures in recreational bobsledders: an unexpected mechanism of injury

Erik P Severson
1   Department of Orthopaedics, University of Utah School of Medicine, Salt Lake City, Utah, USA
,
DMitri A Sofianos
1   Department of Orthopaedics, University of Utah School of Medicine, Salt Lake City, Utah, USA
,
Amy Powell
1   Department of Orthopaedics, University of Utah School of Medicine, Salt Lake City, Utah, USA
,
Michael Daubs
1   Department of Orthopaedics, University of Utah School of Medicine, Salt Lake City, Utah, USA
,
Rakesh Patel
2   Department of Orthopaedic Surgery, University of Michigan School of Medicine, Ann Arbor, MI, USA
,
Alpesh A Patel
3   Department of Orthopaedic Surgery and Rehabilitation, Loyola University Stritch School of Medicine, Salt Lake City, Utah, USA
› Author Affiliations
Further Information

Publication History

Publication Date:
31 May 2012 (online)

ABSTRACT

Study design: Retrospective case series and literature review.

Objective: To report and discuss spinal fractures occurring in recreational bobsledders.

Summary of background data: Spinal fractures have been commonly described following traumatic injury during a number of recreational sports. Reports have focused on younger patients and typically involved high-impact sports or significant injuries. With an aging population and a wider array of recreational sports, spinal injuries may be seen after seemingly benign activities and without a high-impact injury.

Methods: A retrospective review of two patients and review of the literature was performed.

Results: Two patients with spinal fractures after recreational bobsledding were identified. Both patients, aged 57 and 54 years, noticed a simultaneous onset of severe back pain during a routine turn on a bobsled track. Neither was involved in a high-impact injury during the event. Both patients were treated conservatively with resolution of symptoms. An analysis of the bobsled track revealed that potential forces imparted to the rider may be greater than the yield strength of vertebral bone.

Conclusions: Older athletes may be at greater risk for spinal fracture associated with routine recreational activities. Bobsledding imparts large amounts of force during routine events and may result in spinal trauma. Older patients, notably those with osteoporosis or metabolic bone disease, should be educated about the risks associated with seemingly benign recreational sports.

 
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