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Scientific paper - Case study
Deficiency of plain film radiography in the evaluation of cervical spine injury in high-risk patient – case reports
Medicina Fluminensis, 56 (2020), 1; 77-81. https://doi.org/10.21860/medflum2020_232818
Petrić, Tamara; Materljan, Maja; Protić, Alen

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Petrić, T., Materljan, M. & Protić, A. (2020). Deficiency of plain film radiography in the evaluation of cervical spine injury in high-risk patient – case reports. Medicina Fluminensis, 56. (1), 77-81. doi: 10.21860/medflum2020_232818

Petrić, Tamara, et al. "Deficiency of plain film radiography in the evaluation of cervical spine injury in high-risk patient – case reports." Medicina Fluminensis, vol. 56, no. 1, 2020, pp. 77-81. https://doi.org/10.21860/medflum2020_232818

Petrić, Tamara, Maja Materljan and Alen Protić. "Deficiency of plain film radiography in the evaluation of cervical spine injury in high-risk patient – case reports." Medicina Fluminensis 56, no. 1 (2020): 77-81. https://doi.org/10.21860/medflum2020_232818

Petrić, T., Materljan, M. and Protić, A. (2020) 'Deficiency of plain film radiography in the evaluation of cervical spine injury in high-risk patient – case reports', Medicina Fluminensis, 56(1), pp. 77-81. doi: 10.21860/medflum2020_232818

Petrić T, Materljan M, Protić A. Deficiency of plain film radiography in the evaluation of cervical spine injury in high-risk patient – case reports. Medicina Fluminensis [Internet]. 2020 [cited 2024 November 25];56(1):77-81. doi: 10.21860/medflum2020_232818

T. Petrić, M. Materljan and A. Protić, "Deficiency of plain film radiography in the evaluation of cervical spine injury in high-risk patient – case reports", Medicina Fluminensis, vol. 56, no. 1, pp. 77-81, 2020. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:203482. [Accessed: 25 November 2024]

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Metadata
Title (english)Deficiency of plain film radiography in the evaluation of cervical spine injury in high-risk patient – case reports
Title (croatian)Nedostaci standardnog radiograma pri obradi ozljede vratne kralježnice u visokorizičnih pacijenata – prikazi slučajeva
AuthorTamara Petrić
AuthorMaja Materljan
AuthorAlen Protić
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Anaesthesiology,reanimatology and Intensive Care)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Anesthesiology and Reanimatology
Abstract (english)
Aim: to emphasize the deficiencies of plain film radiographs in the evaluation of cervical spine injuries especially in high-risk patients in which this diagnostic procedure is inadequate due to pathoanatomical changes (ankylosing spondilytis, spinal canal stenosis and osteoporosis). Case report: We presented the evaluation of cervical spine injury in two high risk groups (osteoporotic patient and patient with ankylosing spondilytis). Spinal fractures are more common in those two groups and can result from a simple fall. The mechanism of injury in both cases was falling from its height. Initial neurological status was normal, only secondary approach revealed neurological deficit; in 1. case couple of hours after injury and in 2. case nine days after injury. In both cases, MSCT revealed cervical spine fracture. Conclusion: Considering the potential severe consequences of unrecognized and untreated injuries, we wanted to emphasise the need for further research and implementation of appropriate evaluation algorithm in high-risk patients. Due to its high specificity and sensitivity, MSCT should be the method of choice in diagnosing cervical spine fracture in this group of patients.
Abstract (croatian)
Cilj: Istaknuti nedostatke standardnog radiograma pri obradi ozljede vratne kralježnice, posebice u visokorizičnih pacijenata u kojih je zbog patoanatomskih promjena ova dijagnostička pretraga otežana (ankilozantni spondilitis, stenoza spinalnog kanala i osteoporoza). Prikaz slučaja: Prikazali smo obradu ozljede vratne kralježnice u dva visokorizična pacijenta (osteoporotičnog te pacijenta s ankilozantnim spondilitisom). Prijelomi vratne kralježnice češći su u te dvije skupine i mogu nastati blažim padom. Mehanizam ozljede je u oba slučaja bio pad sa svoje visine. Inicijalni neurološki pregled kod oba pacijenta bio je uredan, tek je odgođeni pregled ukazao na neurološki deficit: u prvom slučaju nekoliko sati nakon ozljede, a u drugom slučaju devet dana nakon ozljede. U oba slučaja ozljeda vratne kralježnice bila je dijagnosticirana naknadno učinjenim MSCT-om vratne kralježnice. Zaključak: S obzirom na potencijalno opasne posljedice neprepoznate i neliječene ozljede vratne kralježnice, htjeli smo naglasiti potrebu za daljnjim istraživanjem i kreiranjem adekvatnog algoritma za visokorizične pacijente. Zbog svoje visoke specifičnosti i senzitivnosti, MSCT bi trebao biti metoda izbora pri dijagnosticiranju ozlijede vratne kralježnice u toj grupi pacijenata.
Keywords (english)
Keywords (croatian)
Languagecroatian
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina Fluminensis
Numberingvol. 56, no. 1, pp. 77-81
p-ISSN1847-6864
e-ISSN1848-820X
DOIhttps://doi.org/10.21860/medflum2020_232818
URN:NBNurn:nbn:hr:184:203482
Publication2020
Document URLhttps://hrcak.srce.hr/232818
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2020-03-02 15:35:55