Return-to-Play After Sports Injury II: Spine Injury-Douglas L. Brockmeyer, MD, FAANS Video

Video Transcription

Video Summary

In the video, Doug Brockmeyer discusses the topic of returning to play after a sports injury, specifically focusing on os odontoidium, which is a condition involving a round or oval ossicle above the body of C2. He explores whether os odontoidium is dangerous and whether it should be treated, as well as the risks of treatment versus conservative therapy. He presents evidence that the capsular ligaments and odontoid integrity play major roles in stabilizing the craniocervical junction. Brockmeyer discusses studies that suggest some individuals with os odontoidium can be managed conservatively without surgery, as long as they do not experience significant clinical instability. However, there are cases where surgical management may be necessary, especially in younger patients. Surgical treatment typically involves fusion between C1 and C2 using various techniques. The video concludes with a case study of a patient with os odontoidium who does not want surgery and the decision on which management strategy to pursue.

Keywords

returning to play after sports injury

os odontoidium

danger of os odontoidium

treatment options for os odontoidium

surgical management of os odontoidium