Whiplash Injuries Made Worse By Cervical Stenosis
Whiplash Injuries Made Worse By Cervical Stenosis
Image Compliments of Medical Legal Art via The Doe Report (www.doereport.com). Copyright © 2010 Medical Legal Art, All rights reserved. There are cases when clients present with severe pain following a motor vehicle collision along with pre-existing conditions, such as spinal stenosis. Spinal stenosis is a very important consideration when evaluating the traumatically injured client. In a study presented by Debois, Herz, Berghmans, Hermans, and Herregodts (1999), the authors showed that “A small diameter of the bony cervical spinal canal predisposes to an adverse clinical outcome after whiplash injury” (p. 1999-2000). They went on to discuss, “People with a sagittal diameter and cross sectional area of the bony cervical spinal canal significantly smaller than those of normal healthy individuals seems to be more susceptible to the development of neurologic symptoms in the event of soft cervical disc herniation” (p. 2001). Therefore, when evaluating the traumatically injured client with either acquired or congenital cervical stenosis, it is important to work with professionals that understand how to clinically correlate causality to bodily injury and persistent functional loss in persons with a narrowed spinal canal. This means, a very small problem can be made worse in the presence of a stenotic canal.
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Reference:
Debois, V., Herz, R., Berghmans, D., Hermans, B., & Herregodts, P. (1999). Soft cervical disc herniation. Influence of cervical spinal canal measurements on development of neurologic symptoms. Spine, 24(19), 1996-2002.