Document Detail


A delayed diagnosis of bilateral facet dislocation of the cervical spine: a case report.
MedLine Citation:
PMID:  24587496     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Abstract available from the publisher.
Authors:
Julie O'Shaughnessy; Julie-Marthe Grenier; Paula J Stern
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the Canadian Chiropractic Association     Volume:  58     ISSN:  0008-3194     ISO Abbreviation:  J Can Chiropr Assoc     Publication Date:  2014 Mar 
Date Detail:
Created Date:  2014-03-03     Completed Date:  2014-03-03     Revised Date:  2014-03-05    
Medline Journal Info:
Nlm Unique ID:  7507184     Medline TA:  J Can Chiropr Assoc     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  45-51     Citation Subset:  -    
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