Pathological Burst Fracture in the Cervical Spine
With Negative Red Flags: A Case Report
Jocelyn Cox, DC, Chris DeGraauw, DC FRCCSS(C), and Erik Klein, DC
Department of Graduate Education and Research Program,
Canadian Memorial Chiropractic College,
6100 Leslie Street,
North York, ON, M2H 3J1
OBJECTIVE: To report on a case of a pathological burst fracture in the cervical spine where typical core red flag tests failed to identify a significant lesion, and to remind chiropractors to be vigilant in the recognition of subtle signs and symptoms of disease processes.
CLINICAL FEATURES: A 61-year-old man presented to a chiropractic clinic with neck pain that began earlier that morning. After a physical exam that was relatively unremarkable, imaging identified a burst fracture in the cervical spine.
INTERVENTION & OUTCOMES: The patient was sent by ambulance to the hospital where he was diagnosed with multiple myeloma. No medical intervention was performed on the fracture.
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