Background: Neck pain related to a recent minor trauma could mask
a cervical spine fracture, even in the absence of neurological signs and symptoms.
Objective: The purpose of this article is to report a case of safe management of a
patient involved in a minor importance motor vehicle collision, concealing an
odontoid fracture.
Clinical features: A patient involved in a minor blunt trauma self-referred to
a physical therapist’s outpatient clinic the day after, complaining of pain of
medium e severe intensity, slight nausea, headache and cervical mobility restriction
raised during the night, many hours after the collision. No neurological signs
were present.
Intervention and outcome: A detailed case history which aimed to screen for red
flags and the Canadian C-Spine Rule application combined with clinical examination,
facilitated the diagnosis of an odontoid fracture of the C2 vertebra. This led
to a safe and effective management procedure of the patient and an adequate
therapy with a rigid Philadelphia neck brace for 60 days.
Original languageEnglish
Pages (from-to)230-236
Number of pages7
JournalInternational Journal of Osteopathic Medicine
Issue number18
Publication statusPublished - 2015

ID: 22985622