Affiliation:
1. Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, United States,
2. Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City, United States.
Abstract
Background:
How long do nonoperative cervical fractures have to be followed and with how many imaging studies?
Methods:
We reviewed 69 adult patients with 122 (31 occiptocervical and 91 sub-axial) cervical fractures; at least one of the cervical fractures was managed nonoperatively. Outcomes were assessed along with the optimal follow-up duration and frequency of various diagnostic studies.
Results:
An average of four follow-up visits occurred on average 28-, 66-, 94-, and 158-day post hospital discharge. The average time between discharge and orthotic clearance was 70 days (±32.4 days). Radiographic studies were obtained at follow-up visits, respectively, in, 82.6%, 83.6%, 94.7%, and 100% of patients.
Conclusion:
The trend for managing nonoperative cervical fractures was an unduly prolonged follow-up duration that included obtaining too many imaging studies.
Subject
Neurology (clinical),Surgery
Cited by
2 articles.
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