Review ArticlesThe Epidemiology of Catastrophic Spine Injuries in High School and College FootballGill, Sanjitpal S. MD*; Boden, Barry P. MD†Author Information *Clinical Orthopaedic Surgery, University of South Carolina School of Medicine, Steadman Hawkins Clinic of the Carolinas, Greenville, SC †Uniformed Services, University of the Health Sciences, The Orthopaedic Center, Bethesda, MD Correspondence: Barry P. Boden, MD, Uniformed Services, University of Health Sciences, The Orthopaedic Center, 9711 Medical Center Drive, No. 201, Rockville, MD 20850 (e-mail: firstname.lastname@example.org). Sports Medicine and Arthroscopy Review: March 2008 - Volume 16 - Issue 1 - p 2-6 doi: 10.1097/JSA.0b013e31816293e9 Buy Metrics Abstract Athletic events have long been identified as a source of catastrophic spinal injuries. One of the most notorious sports has been American football. At both the amateur and professional level, this collision sport is associated with the highest number of direct catastrophic injuries including cervical spine trauma and quadriplegia. Although modifications in the rules of play and education of players and coaches have significantly diminished the rate of quadriplegia, there remains a need to decrease the number of catastrophic spine injuries in football. Further research related to the prevention and management of athletic cervical spine trauma is necessary. © 2008 Lippincott Williams & Wilkins, Inc.