Akademik Veri Yönetim Sistemi
9th INTERCONTINENTAL EMERGENCY MEDICINE CONGRESS, Antalya, Türkiye, 27 - 30 Ekim 2022, ss.200
that involve vertebral fractures or damage to the spinal cord, nerve root, ligaments or vessels. Non-contrast cervical spine computed tomography (CT) is the imaging modality of choice in
patients who need imaging for suspected cervical spine injury. Patients with penetrating neck trauma and neurological deficits should be immobilized and undergo an investigation, including
investigation of bone injury. Cervical pathologies should be investigated especially after the acceleration and deceleration mechanism in vehicle traffic accidents.
CASE: A 66-year-old male patient applied to the emergency service with neck pain as a result of his vehicle colliding with another vehicle while he was in the front seat of the vehicle. The
patient stated that his head moved forth- back abruptly at the accident. Thpatients was oriented, cooperative. Patient’s glascow coma was scale:15. His vital signs were normal. On physical
examination, there was no neurological deficit, upper and lower extremity motor strength was 5/5 bilaterally, and cervical tenderness on palpation was present. In the patient’s imaging, there
was an image compatible with cervical 4 spinous processes and right lamina fracture (Figure 1). The patient was consulted to the neurosurgery clinic. The neurosurgeon recommended to
the patient a filadelphia collar. The patient was discharged with the recommendations of neurosurgery.
CONCLUSION: Cervical spinal cord injuries are an emergency clinical picture that can be seen frequently, especially in elderly patients, after the mechanism of acceleration and deceleration.
Considering the mechanism of trauma. Advanced imaging methods (CT, MR) should be used in patients for diagnosis.