Does Overall Cervical Spine Pathology Relate to the Clinical Heterogeneity of Chronic Whiplash?
| Autor: | Todd B. Parrish, D. Mark Courtney, James M. Elliott, Marie Wasielewski, Amy Jo Vassallo, Joel Fundaun, David M. Walton |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Pathology medicine.medical_specialty MEDLINE Context (language use) Article Young Adult 03 medical and health sciences 0302 clinical medicine Clinical heterogeneity Whiplash medicine Humans Prospective Studies Young adult Prospective cohort study Whiplash Injuries business.industry 030208 emergency & critical care medicine General Medicine Middle Aged medicine.disease Cervical spine Cohort Cervical Vertebrae Emergency Medicine Female Spinal Diseases Tomography X-Ray Computed business |
| Zdroj: | Am J Emerg Med |
| ISSN: | 0735-6757 |
| DOI: | 10.1016/j.ajem.2019.06.052 |
| Popis: | Background and purpose There remains limited evidence for the clinical importance of most imaging findings in whiplash. However, it is possible the type and number of findings on Computed Tomography (CT) may contribute to prognostic recovery models. The purpose is to interpret cervical spine pathologies in the context of known factors influencing recovery. Materials and methods This is a secondary analysis from a database of 97 acutely injured participants enrolled in a prospective inception cohort study. Thirty-eight participants underwent standard of care cervical spine CT in the emergency medicine department. All 38 participants were assessed at Results Participants from both groups demonstrated at least one observable pathology. The group with persistent moderate/severe symptoms presented with significantly more pathology at baseline than those who later reported recovery or milder symptoms at 3-months post injury (p = 0.02). Conclusions This preliminary study, which needs replication in a larger cohort, provides foundation that the number of degenerative pathologies seen on initial post MVC CT may be associated with the subsequent clinical course of whiplash. |
| Databáze: | OpenAIRE |
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