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The American Journal of Sports Medicine 27:177-180 (1999)
© 1999 American Orthopaedic Society for Sports Medicine

Spinal Injuries in Skiers and Snowboarders

Fadi Tarazi, MD, Marcel F. S. Dvorak, MD, FRCSC{dagger} and Peter C. Wing, MB, FRCSC

The Spine Program, Vancouver Hospital and Health Sciences Centre, University of British Columbia, Vancouver, British Columbia, Canada

Presented at the Canadian Academy of Sports Medicine annual meeting in Vernon, British Columbia, Canada, March 1996.

{dagger} Address correspondence and reprint requests to Marcel F. S. Dvorak, MD, FRCSC, Spine Program, D6, Heather Pavilion, Vancouver Hospital and Health Sciences Centre, 2733 Heather Street, Vancouver, BC, Canada V5Z 3J5

Spinal injuries are among the most devastating injuries associated with recreational sports. Snowboarding spinal injury patterns have not been described. During two seasons (1994 to 1995 and 1995 to 1996), 34 skiers and 22 snowboarders suffered serious spinal injuries (fracture or neurologic deficit or both) at two ski areas in British Columbia, Canada. Ski patrol records, the Provincial Trauma Database, and hospital records were reviewed. Injury rates were based on computerized lift-ticket data and a population estimate of 15% snowboarders (ski patrol observation). The incidence of spinal injury among skiers was 0.01 per 1000 skier-days, and among snowboarders was 0.04 per 1000 snowboarder-days. Mean age was 34.5 years for skiers and 22.4 years for snowboarders. Seventy percent of the skiers were men, whereas all of the snowboarders were men. Jumping (intentional jump >2 meters) was the cause of injury in 20% of skiers and 77% of snowboarders. Neither age nor sex accounted for any significant portion of this difference. The rate of spinal injuries among snowboarders is fourfold that among skiers. Although jumping is the primary cause of injury, it is an intrinsic element of snowboarding. Until research defines effective injury-prevention strategies, knowledge of the risk of snowboarding should be disseminated and techniques for safe jumping should be taught.




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