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In this issue of Neurosurgery News, several experts join together to discuss return-to-play in contact sport athletes with persistent cervical cord MRI T2 hyperintensity following trauma, risk of adjacent level fractures after balloon-assisted kyphoplasty, childhood risks of contact sports, Cervical Spondylitic Myelopathy, and memory and traumatic brain injury.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Improve management of sport-related traumatic transient cervical neurapraxia in those cases with T2 MRI cord hyperintensity
  • Discuss the Cervical Spondylotic Myelopathy Surgical Trial (CSM-ST)
  • Improve knowledge of memory deficits after traumatic brain injury
  • Educate patients on their risk of developing subsequent vertebral compression fractures after undergoing balloon assisted kyphoplasty 
  • Improve knowledge of chronic traumatic encephalopathy (CTE) and its incidence in contact sports

Reading Resources:

  1. Torg JS, Naranja RJ Jr, Pavlov H, Galinat BJ, Warren R, Stine RA. The Relationship of Developmental Narrowing of the Cervical Spinal Canal to Reversible and Irreversible Injury of the Cervical Spinal Cord in Football Players. J Bone Joint Surg Am. 1996;78(9):1308-1314.
  2. Bernhardt M, Hynes RA, Blume HW, White AA 3rd. Cervical Spondylotic Myelopathy. J Bone Joint Surg Am. 1993 Jan;75(1):119-28.
  3. Carlson SW, Yan HQ, Ma X, Li Y, Henchir JJ, Dixon CE. Traumatic Brain Injury Impairs SNARE Complex Formation and Alters Synaptic Vesicle Distribution in the Hippocampus. J Neurotrauma. 2015 Apr 29.
  4. Borgstrom F, Olafsson G, Strom O, Tillman JB, Wardlaw D, Boonen S, et al. The Impact of Different Health Dimensions on Overall Quality of Life Related to Kyphoplasty and Non-Surgical Management. Osteoporos Int 24:1991-1999, 2013.
  5. Kontos AP, Elbin RJ, Fazio-Sumrock VC, Burkhart S, Swindell H, Maroon J, Collins MW. Incidence of Sports-Related Concussion Among Youth Football Players Aged 8-12 Years. J Pediatr. 2013 Sep;163(3):717-20. doi: 10.1016/j.jpeds.2013.04.011. Epub 2013 Jun 14.


Drs. Bost, Carlson, Deibert, Dixon, Tempel, and Ms. Wappler, and Ms. Osier and Ms. Paschel have reported no relevant relationships with any entities producing health care goods or services.

Dr. Gerszten is a consultant for Zimmer Spine.

Dr. Kanter is a consultant for Nuvasive and receives a royalty from Blomet.

Dr. Maroon is a consultant for the NFL, Pittsburgh Steelers and a stockholder in ImPACT Technologies.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.05) continuing education units (CEU) which are equivalent to .5 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 8/7/2015 | Last Modified On: 8/7/2015 | Expires: 8/8/2016

This course has been expired.