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Elevation Blog

Correcting Scoloiosis with Scolibrace in Salt Lake City

Here are a couple of cases of Scolibrace treatment of scoliosis showing early change in some of our patients.  Gives a great explanation of what we are expecting to see with treatment in Salt Lake City

BLOG: Elevation health in Salt Lake City

Missed Injuries in the Cervical Spine

“The reported frequency of missed injuries in the cervical spine.”

This study shows  the importance and necessity of  proper imaging when cervical spine trauma occurs.  Proper evaluation and imaging procedures (X-Ray, MRI, CT, etc...) are the standard of care at Elevation Health in Salt Lake City. Call Dr. Lee if you have any questions about this study!

  

Cervical spine trauma: Cervical spine trauma is a common problem with a wide range of severity from minor ligamentous injury to frank osteo-ligamentous instability with spinal cord injury. (Indian J Orthop. 2007 Oct-Dec; 41(4): 255–267)

“The reported frequency of missed injuries in the cervical spine varies from 4% to 30%. The most common reason cited for missed injuries is an inadequate radiographic examination.” (This should help validate WHY Dr. Lee images his patients. Do you want to be one of the 30% who’s injuries are missed?) 


  

“Despite these common patterns, it has been recognized that even in the absence of fractures, clinically significant instability can exist.” Standard x-ray views should include standard front and side views of the neck, as well as flexion/extension, right and left lateral flexion views, and open mouth neutral. These rule-out ligament instabilities.  (Routinely performed at Elevation Health in Salt Lake City).


  

“When injuries are missed on initial assessment, a delay in diagnosis occurs that puts the patient at risk for progressive instability and neurologic deterioration.” In one series by Davis et al., 29% of patients with missed injuries developed permanent neurologic sequelae.


  

“When evaluating radiographs of patients with suspected subaxial cervical trauma, key radiographic features need to be assessed: 1) the presence of soft tissue swelling anterior to the vertebral bodies; 2) a loss of the normal smooth cervical lordosis with special attention to the normal lordotic lines; 3) disc space narrowing; 4) segmental kyphosis; 5) antero/retrolisthesis of one vertebral body relative to another and/or splaying of the spinous processes.”  Dr. Lee does extensive measuring on the x-rays, checking for ligament damage, including those listed above.


 The emergent evaluation of patients at risk relies on standardized clinical and radiographic protocols to identify injuries; detect associated pathology; classify injuries; and predict instability, treatment and outcomes. The unique anatomy of each region of the cervical spine demands a review of each segment individually.  (The measuring of individual vertebral angles is the standard of care at Elevation Health!)


  

The anatomic features of each cervical motion segment predispose the levels to different patterns of injury and, as a result, require an evaluation of each individually.

Dr. Lee routinely x-rays all trauma patients, especially when involved in an automobile accident, and performs extensive analysis and measurements that are indicative of injury, and predictive of ligament instability, spinal injury, and indicative of patient outcomes. 


For more information, inquire with Dr. Lee at Elevation Health

Learn More

One study notes up to 50% of persons involved in a motor vehicle crash go on to suffer chronic pain.  WHY?? Lack of sufficient imaging and examination details seem to be the culprits.  Does your doctor know what to look for? Do they know how to diagnose the complicated and subtle injuries beyond a sprained neck?  Can they convey this information to your insurance company and your attorney in a way that they can understand your injuries?  Most importantily, ARE YOU GETTING BETTER?  If you have questions, I have answers.  Call Me!  I'm Dr. Gary Lee, your Chiropractic Physician.