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The Journal of Bone & Joint Surgery British Volume
Vol. 82-B, Issue 8 | Pages 1148 - 1150
1 Nov 2000
Hähnle UR Nainkin L

We describe a patient with traumatic right-sided invagination of two consecutive laminae into the spinal canal. The injury resembled a greenstick fracture and resulted in an acute Brown-Séquard syndrome. There was also an undisplaced hangman’s fracture of the axis vertebra. These injuries were caused by an acute hyperextension and axial compression of the cervical spine. Open reduction and internal fixation of the laminar fractures without fusion was followed by full neurological recovery within six weeks


The Journal of Bone & Joint Surgery British Volume
Vol. 88-B, Issue 6 | Pages 771 - 775
1 Jun 2006
Shelly MJ Butler JS Timlin M Walsh MG Poynton AR O’Byrne JM

This study assessed the frequency of acute injury to the spinal cord in Irish Rugby over a period of ten years, between 1995 and 2004. There were 12 such injuries; 11 were cervical and one was thoracic. Ten occurred in adults and two in schoolboys. All were males playing Rugby Union and the mean age at injury was 21.6 years (16 to 36). The most common mechanism of injury was hyperflexion of the cervical spine and the players injured most frequently were playing at full back, hooker or on the wing. Most injuries were sustained during the tackle phase of play. Six players felt their injury was preventable. Eight are permanently disabled as a result of their injury.