Are snowboarders more likely to damage their spines than skiers? Lessons learned from a study of spinal injuries from the Otago skifields in New Zealand.
OBJECTIVE
The aim of this study was to determine the incidence, nature, and circumstances of spinal injuries caused by skiing and snowboarding at the Otago skifields and treated at Dunedin Hospital during the period 1991 to 2002.


METHODS
Patients were identified from the audit records of the Department of Orthopaedic Surgery at Dunedin Hospital.


RESULTS
Twenty-five cases were included in the study, 18 snowboarders, and 7 skiers. Twenty-two cases had spinal fractures, with skiers having a higher proportion of burst fractures and multiple fractures. The most frequently fractured vertebrae were T12 and L1, and wedge fractures were the most common fracture type. Jump-related activities were the most common cause of injury in snowboarders, in contrast to skiers whose injuries were more commonly fall-related.


CONCLUSIONS
Skier-related spinal injuries were rare and sporadic over the study period, whereas snowboarder-related spinal injuries were more frequent and more recent in occurrence.
Donald
Simon
S
General Medicine, Aberdeen Royal Infirmary, Aberdeen, UK. simon.donald@nhs.net
Chalmers
David
D
Theis
Jean-Claude
JC
D000293:Adolescent; D000328:Adult; D005260:Female; D050723:Fractures, Bone / Q000145:classification / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D008159:Lumbar Vertebrae / Q000293:injuries*; D008297:Male; D009520:New Zealand / Q000453:epidemiology; D010865:Pilot Projects; D017678:Sex Distribution; D012865:Skiing / Q000145:classification / Q000293:injuries*; D013124:Spinal Injuries / Q000453:epidemiology; D013904:Thoracic Vertebrae / Q000293:injuries*