Answer to the Letter to the Editor of L. Uhrenholt et al. concerning 'Do X-ray-occult fractures play a role in chronic pain following a whiplash injury?' by Hertzum-Larsen R, Petersen H, Kasch H, Bendix T, Eur Spine J, 2014; DOI 10.1007/s00586-014-3362-3
| Autor: | Tom Bendix, Rasmus Hertzum-Larsen, Helge Kasch, Henrik Petersen |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Letter to the editor medicine Humans Orthopedics and Sports Medicine Fractures Closed Whiplash Injuries Occult Fractures Pain Measurement SPECT SCAN business.industry Chronic pain Accidents Traffic medicine.disease Surgery Natural history Radiography Whiplash injury Cohort Physical therapy Female Neurosurgery Chronic Pain business |
| Zdroj: | Hertzum-Larsen, R, Petersen, H, Kasch, H & Bendix, T 2014, ' Answer to the Letter to the Editor of L. Uhrenholt et al. concerning "Do X-ray-occult fractures play a role in chronic pain following a whiplash injury?" by Hertzum-Larsen R, Petersen H, Kasch H, Bendix T, Eur Spine J, 2014; DOI 10.1007/s00586-014-3362-3 ', European Spine Journal, vol. 23, no. 10, pp. 2225 . https://doi.org/10.1007/s00586-014-3493-6 |
| DOI: | 10.1007/s00586-014-3362-3 |
| Popis: | We welcome the comments on the article ‘‘Do X-rayoccult fractures play a role in chronic pain following a whiplash injury?’’. Uhrenholt et al. pointed out that 9 of the 13 patients, who had an abnormal SPECT after 6-months of follow-up, had been SPECT-normal at baseline. They see this as evidence that many of the abnormal findings at baseline were false positives. We agree that possible problems with diagnostic properties of SPECT mean that our title and conclusion was too strong: our study was not suited to examine X-ray occult fractures. The title of the article as it was first submitted to the European Spine Journal was indeed ‘‘Do early bone SPECT scan predict chronic pain following a whiplash injury?’’, intending to make it a pragmatic, prognostic study of SPECT in whiplash-associated disorders (WAD), rather than a study of the causes of WAD, but this was changed as requested in the review process. It is our mistake that we agreed to this change. We find that the value of this study lies in the finding that introducing the SPECT scan early after a whiplash injury is not suited for predicting chronicity, irrespective the SPECT findings are expressions of fractures, diagnostic errors or something else. The inception-cohort design of the study was well suited for this purpose because we had the opportunity to follow a cohort of whiplash-trauma victims regarding their natural history from the acute phase, to later stages of either resolution or chronicity. We appreciate this opportunity to make the above clarification. |
| Databáze: | OpenAIRE |
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