SportSmart Canada maintains a registry of spinal injuries in hockey an
d has documented 214 cases of fracture or dislocation of the spine, oc
curring mainly in North America since 1966. Tile current annual incide
nce is approximately 15 cases per year arid may be declining as a resu
lt of intense prevention programs. Most of the injuries have been to t
he cervical spine in players :16 to 20 years of age playing supervised
games. Checking from behind causing impact of the head against boards
has been an important cause of injury, especially for those injuries
resulting in neurological deficit.