Epidemiology of Lumbar Spine Injuries in Men's and Women's National Collegiate Athletic Association Basketball Athletes

Justin L Makovicka; David G Deckey; Karan A Patel; Jeffrey D Hassebrock; Andrew S Chung; Sailesh V Tummala; Thomas C Hydrick; Austin Pena; Anikar Chhabra

doi:10.1177/2325967119879104

Epidemiology of Lumbar Spine Injuries in Men's and Women's National Collegiate Athletic Association Basketball Athletes

Orthop J Sports Med. 2019 Oct 31;7(10):2325967119879104. doi: 10.1177/2325967119879104. eCollection 2019 Oct.

Authors

Justin L Makovicka¹, David G Deckey¹, Karan A Patel¹, Jeffrey D Hassebrock¹, Andrew S Chung¹, Sailesh V Tummala², Thomas C Hydrick³, Austin Pena³, Anikar Chhabra¹

Affiliations

¹ Department of Orthopedic Surgery, Mayo Clinic, Phoenix, Arizona, USA.
² John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA.
³ Mayo Clinic Alix School of Medicine, Scottsdale, Arizona, USA.

Abstract

Background: Lumbar spine injuries (LSIs) are common in both men's and women's National Collegiate Athletic Association (NCAA) basketball players and can frequently lead to reinjuries and persistent pain.

Purpose: To describe the epidemiology of an LSI in collegiate men's and women's basketball during the 2009-2010 through 2013-2014 academic years.

Study design: Descriptive epidemiology study.

Methods: The incidence and characteristics of LSIs were identified utilizing the NCAA Injury Surveillance Program (ISP). Rates of injury were calculated as the number of injuries divided by the total number of athlete-exposures (AEs). AEs were defined as any student participation in 1 NCAA-sanctioned practice or competition. Incidence rate ratios (IRRs) were then calculated to compare the rates of injury between season, event type, mechanism, injury recurrence, and time lost from sport.

Results: The NCAA ISP reported 124 LSIs from an average of 28 and 29 men's and women's teams, respectively. These were used via validated weighting methodology to estimate a total of 5197 LSIs nationally. The rate of LSIs in women was 2.16 per 10,000 AEs, while men suffered LSIs at a rate of 3.47 per 10,000 AEs. Men were 1.61 times more likely to suffer an LSI compared with women. In men, an LSI was 3.48 times more likely to occur in competition when compared with practice, while in women, an LSI was 1.36 times more likely to occur in competition than in practice. Women suffered the highest LSI rate during the postseason, while the highest rate in men was during the regular season. The majority of both female (58.9%; n = 1004) and male (73.1%; n = 2353) athletes returned to play within 24 hours of injury.

Conclusion: To date, this is the largest study to characterize LSIs in NCAA basketball and provides needed information on the prevalence and timing of these injuries. The majority of injuries in both sexes were new, and most athletes returned to play in less than 24 hours. Injury rates were highest during competition in both sexes.

Keywords: NCAA; athletes; back strain; collegiate basketball; disk herniation; epidemiology; injury; low back; lumbar spine; radiculopathy; return to play; varsity athlete.