Cervical spine fracture is a rate, yet potentially catastrophic compli
cation associated with boxing. Neurologic deficits, ocular injuries, o
r other traumatic musculoskeletal injuries have been commonly reported
, Symptoms of cervical spine injury may be minimal or absent. Cervical
spine fracture may be undiagnosed and unreported in boxers with presu
med soft-tissue injury to the head and neck. We describe a young athle
te who sustained a transient spinal cord injury while boxing, which re
quired a cervical spine fusion and postoperative immobilization in a h
alo vest. This athlete also had an os odontoideum, which placed him at
significant risk for such an injury. Pre- and postparticipation scree
ning of the cervical spine should be considered in all boxers.