Use of Radiography in Spine Pain Cases
Author Information
Author(s): Roger Pringle, Lawrence H Wyatt
Primary Institution: Kelsey-Seybold Medical Group, Houston, Texas, USA
Hypothesis
The study aims to evaluate the appropriate use of radiography in patients with spine pain suspected to be non-organic but later found to have malignancy.
Conclusion
The initial decision to forgo radiography did not negatively impact the long-term management of the patients, who were later diagnosed with malignancies.
Supporting Evidence
- Both patients initially presented with symptoms thought to be non-organic.
- Malignancies were discovered through advanced imaging after conservative treatment failed.
- Initial radiographs were normal, indicating the need for further investigation.
Takeaway
Two patients thought to have regular back pain actually had cancer, showing that sometimes doctors don't need to take X-rays right away.
Methodology
Retrospective review of two patients' clinical courses and imaging studies.
Potential Biases
Potential bias in the initial clinical assessment leading to delayed imaging.
Limitations
Both patients were deceased, preventing informed consent for publication.
Participant Demographics
One 54-year-old African American female and one 55-year-old Caucasian male.
Digital Object Identifier (DOI)
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