The Emergent Evaluation and Treatment of Neck and Back Pain - 19/11/19

Doi : 10.1016/j.emc.2019.09.007

Brian N. Corwell, MD ^a,^b,^⁎ , Natalie L. Davis, MD, MMSc ^c
^a Department of Emergency Medicine, University of Maryland School of Medicine, 110 S. Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA
^b Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA
^c Department of Pediatrics, University of Maryland School of Medicine, 110 S. Paca Street, 8th Floor, Baltimore, MD 21201, USA

^∗Corresponding author. Department of Emergency Medicine, 110 S. Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201.Department of Emergency Medicine110 S. Paca Street6th FloorSuite 200BaltimoreMD21201

Résumé

Neck and back pain are among the most common symptom-related complaints for visits to the emergency department (ED). They contribute to high levels of lost work days, disability, and health care use. The goal of ED assessment of patients with neck and back pain is to evaluate for potentially dangerous causes that could result in significant morbidity and mortality. This article discusses the efficient and effective evaluation, management, and treatment of patients with neck and back pain in the ED. Emphasis is placed on vertebral osteomyelitis, epidural abscess, acute transverse myelitis, epidural compression syndrome, spinal malignancy, and spinal stenosis.

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Keywords : Epidural abscess, Cauda equina syndrome, Spinal stenosis, Acute transverse myelitis, Vertebral osteomyelitis

Plan

Acute Transverse Myelitis

Epidural Spinal Cord Compression Syndromes

Cauda Equina Syndrome

Neoplastic Epidural Spinal Cord Compression

Spinal Infections

Vertebral Osteomyelitis and Spondylodiscitis

Spinal Epidural Abscess

Neck and back pain treatment

Summary

Disclosure: The authors have no relationship with a commercial company that has a direct financial interest in subject matter or materials discussed in this article or with a company making a competing product. The authors have no relevant financial disclosures or conflicts of interest.