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Delay in diagnosis of thoracolumbar fractures
The time interval between the date of trauma and the diagnosis of vertebral column fractures hinders management and increases liability. We have examined the features and implications of this delay. 585 consecutive thoracolumbar fractures (2005-2016), were considered; 382 (65.30%) were males and 203...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PAGEPress Publications, Pavia, Italy
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6551460/ https://www.ncbi.nlm.nih.gov/pubmed/31210909 http://dx.doi.org/10.4081/or.2019.7774 |
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author | Aso-Escario, José Sebastián, Cristina Aso-Vizán, Alberto Martínez-Quiñones, José Vicente Consolini, Fabián Arregui, Ricardo |
author_facet | Aso-Escario, José Sebastián, Cristina Aso-Vizán, Alberto Martínez-Quiñones, José Vicente Consolini, Fabián Arregui, Ricardo |
author_sort | Aso-Escario, José |
collection | PubMed |
description | The time interval between the date of trauma and the diagnosis of vertebral column fractures hinders management and increases liability. We have examined the features and implications of this delay. 585 consecutive thoracolumbar fractures (2005-2016), were considered; 382 (65.30%) were males and 203 (34.70%) females. Mean age was 51 yr. Fall from a height (187; 31.97%), simple fall (147; 25.13%) and road accidents (111; 18.97%) were the most frequent causes of trauma. Physical exertion caused 8.38% (N=49). 142 patients (24.27%) were not diagnosed on the injury day (mean = 3.2 days). Delay was longer in females (mean = 5.5 vs. 2.7 days) and shorter in falls from a height (mean = 2.3) or road accidents (2.8). Mean age of diagnosed on the injury day differed from those diagnosed in the first month (49.2 vs 60.1). Plain X-ray signs were found in 7 misdiagnosed cases (46.6%). Delay was more frequent in low mineralization cases. Diagnostic delay of spine fractures is frequent. Some risk profiles can help to reduce it. Careful emergency X-ray examination is encouraged, as well as early magnetic resonance imaging in risk profiles. |
format | Online Article Text |
id | pubmed-6551460 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | PAGEPress Publications, Pavia, Italy |
record_format | MEDLINE/PubMed |
spelling | pubmed-65514602019-06-17 Delay in diagnosis of thoracolumbar fractures Aso-Escario, José Sebastián, Cristina Aso-Vizán, Alberto Martínez-Quiñones, José Vicente Consolini, Fabián Arregui, Ricardo Orthop Rev (Pavia) Article The time interval between the date of trauma and the diagnosis of vertebral column fractures hinders management and increases liability. We have examined the features and implications of this delay. 585 consecutive thoracolumbar fractures (2005-2016), were considered; 382 (65.30%) were males and 203 (34.70%) females. Mean age was 51 yr. Fall from a height (187; 31.97%), simple fall (147; 25.13%) and road accidents (111; 18.97%) were the most frequent causes of trauma. Physical exertion caused 8.38% (N=49). 142 patients (24.27%) were not diagnosed on the injury day (mean = 3.2 days). Delay was longer in females (mean = 5.5 vs. 2.7 days) and shorter in falls from a height (mean = 2.3) or road accidents (2.8). Mean age of diagnosed on the injury day differed from those diagnosed in the first month (49.2 vs 60.1). Plain X-ray signs were found in 7 misdiagnosed cases (46.6%). Delay was more frequent in low mineralization cases. Diagnostic delay of spine fractures is frequent. Some risk profiles can help to reduce it. Careful emergency X-ray examination is encouraged, as well as early magnetic resonance imaging in risk profiles. PAGEPress Publications, Pavia, Italy 2019-05-23 /pmc/articles/PMC6551460/ /pubmed/31210909 http://dx.doi.org/10.4081/or.2019.7774 Text en ©Copyright J. Aso-Escario et al., 2019 http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Article Aso-Escario, José Sebastián, Cristina Aso-Vizán, Alberto Martínez-Quiñones, José Vicente Consolini, Fabián Arregui, Ricardo Delay in diagnosis of thoracolumbar fractures |
title | Delay in diagnosis of thoracolumbar fractures |
title_full | Delay in diagnosis of thoracolumbar fractures |
title_fullStr | Delay in diagnosis of thoracolumbar fractures |
title_full_unstemmed | Delay in diagnosis of thoracolumbar fractures |
title_short | Delay in diagnosis of thoracolumbar fractures |
title_sort | delay in diagnosis of thoracolumbar fractures |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6551460/ https://www.ncbi.nlm.nih.gov/pubmed/31210909 http://dx.doi.org/10.4081/or.2019.7774 |
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