Sports-related acute cervical trauma and spinal cord injury (SCI) represent a rare but devastating potential complication of collision sport injuries. Currently, there is debate on appropriate management protocols and return-to-play guidelines in professional collision athletes following cervical trauma. While cervical muscle strains and sprains are among the most common injuries sustained by collision athletes, the life-changing effects of severe neurological sequelae (ie, quadriplegia and paraplegia) from fractures and SCIs require increased attention and care. Appropriate on-field management and subsequent transfer/workup at an experienced trauma/SCI center is necessary for optimal patient care, prevention of injury exacerbation, and improvement in outcomes. This review discusses the epidemiology, pathophysiology, clinical presentation, immediate/long-term management, and current return-to-play recommendations of athletes who suffer cervical trauma and SCI.

与运动相关的急性颈椎创伤和脊髓损伤（SCI）是碰撞运动损伤的一种罕见但具有破坏性的潜在并发症。目前，对于颈椎创伤后专业碰撞运动员的适当管理方案和重返比赛指南存在争议。虽然颈肌拉伤和扭伤是碰撞运动员最常见的损伤，但骨折和脊髓损伤导致的严重神经系统后遗症（即四肢瘫痪和截瘫）改变生活的影响需要更多的关注和护理。适当的现场管理以及随后在经验丰富的创伤/SCI 中心的转移/检查对于最佳患者护理、预防损伤恶化和改善结果是必要的。这篇综述讨论了遭受颈椎创伤和脊髓损伤的运动员的流行病学、病理生理学、临床表现、即时/长期管理以及当前重返比赛的建议。