Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/10/2025

Management of Suspected Cervical Spine Injury in Athletes

Initial Assessment and Stabilization

  • The athlete's presentation with neurologic symptoms such as numbness, tingling, and pain following trauma indicates a potential cervical spine injury that requires immediate and careful management, according to the British Journal of Sports Medicine 1
  • Athletes who have experienced trauma and report neurologic symptoms should be treated with the assumption of a possible cervical spine injury, as recommended by the British Journal of Sports Medicine 1, 2

Evidence-Based Management Protocol

Proper Transport Technique

  • The athlete should be log-rolled onto a stretcher while maintaining in-line stabilization of the head and neck with the equipment in place, as supported by evidence from the British Journal of Sports Medicine 4, 5
  • Emergency medical services (EMS) transport is required for proper evaluation and management of suspected cervical spine injuries, according to the British Journal of Sports Medicine 4, 1

Special Considerations

  • Field medical teams should be trained in proper spine stabilization techniques specific to athletes wearing protective equipment, as recommended by the British Journal of Sports Medicine 6

Common Pitfalls to Avoid

  • Assuming neurologic symptoms that resolve quickly are not serious - even transient symptoms require full evaluation, as noted by Praxis Medical Insights 2
  • Moving the athlete unnecessarily or without proper stabilization techniques, as cautioned by the British Journal of Sports Medicine 1, 5
  • Failing to maintain cervical spine precautions throughout the entire management process, as emphasized by the British Journal of Sports Medicine 4, 1