Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Sunday, April 5, 2020
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
Share:

ICL Home


For best results switch to Advanced Search.
Article Detail
Return to Search Results
ID 23287
  Title A delayed diagnosis of bilateral facet dislocation of the cervical spine: A case report [case report]
URL http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3924504/
Journal J Can Chiropr Assoc. 2014 Mar;58(1):Online access only p 45-51
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes

OBJECTIVE: To review the case of a patient suffering from bilateral facet dislocation of the cervical spine.

CLINICAL FEATURES: A 53-year-old male was involved in a car accident and was transported to the hospital. Cervical radiographs were taken at the emergency department and interpreted as normal. Four days later, he consulted a chiropractor where radiographs of the cervical spine were repeated. The examination revealed bilateral cervical facet joint dislocation at C5-C6 as well as a fracture involving the spinous process and laminae of C6.

INTERVENTION AND OUTCOME: The patient was referred to the hospital and underwent surgery.

CONCLUSION: Patients involved in motor vehicle accidents often consult chiropractors for neck pain treatment. A high index of suspicion due to significant history and physical examination findings should guide the clinician in determining the need for reviewing the initial radiographs (if taken and available) or request repeat studies, regardless of the initial imaging status.

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text.


OBJECTIF: Examiner le cas d’un patient souffrant d’une dislocation facettaire bilatérale de la colonne cervicale.

CARACTÉRISTIQUES CLINIQUES: Un homme de 53 ans a été transporté à l’hôpital à la suite d’un accident de voiture. Les radiographies cervicales prises à l’urgence ont été jugés normales. Quatre jours plus tard, les radiographies de la colonne cervicale ont été répétées chez un chiropraticien. L’examen a révélé une dislocation facettaire bilatérale à C5–C6, ainsi qu’une fracture impliquant l’apophyse épineuse et les lames de C6.

INTERVENTION ET RÉSULTAT: Le patient a été envoyé à l’hôpital où il a subi une intervention chirurgicale.

CONCLUSION: Les patients impliqués dans des accidents de véhicules automobiles consultent souvent les chiropraticiens pour le traitement des douleurs cervicales. Un indice élevé de suspicion dû à l’histoire importante et aux résultats de l’examen physique doit pousser le clinicien à déterminer la nécessité de réviser les radiographies initiales (si disponibles) ou à demander la répétition des examens, peu importe l’interprétation initiale de l’imagerie.

Ce résumé est reproduit avec l'autorisation de l'éditeur. Cliquez sur le lien ci-dessus pour obtenir l’article gratuitement.


 

   Text (Citation) Tagged (Export) Excel
 
Email To
Subject
 Message
Format
HTML Text     Excel



To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an asterisk*, also called a wildcard or truncation.  Example: chiropract* retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips