Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: The appropriate use of radiography in clinical practice: a report of two cases of biomechanical versus malignant spine pain. | Chiropractic Osteopathy BioMed Central Case report Open Access The appropriate use of radiography in clinical practice a report of two cases of biomechanical versus malignant spine pain Roger Kevin Pringle1 and Lawrence H Wyatt 2 Address 1Spine Center Orthopedics Kelsey-Seybold Medical Group Houston Texas USA and 2Division of Clinical Sciences Texas Chiropractic College Pasadena Texas USA Email Roger Kevin Pringle - kevinp2865@ Lawrence H Wyatt - beauxtx1@ Corresponding author Published 30 May 2006 Received 15 November 2005 Chiropractic Osteopathy 2006 14 8 doi l746-l340-l 4-8 Accepted 30 May 2006 This article is available from http content l4 l 8 2006 Pringle and Wyatt licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background To describe the evaluation treatment management and referral of two patients with back pain with an eventual malignant etiology who were first thought to have a non-organic biomechanical disorder. Clinical features The study was a retrospective review of the clinical course of two patients seen by a chiropractor in a multi-disciplinary outpatient facility who presented with what was thought to be non-organic biomechanical spine pain. Clinical examination by both medical and chiropractic physicians did not indicate the need for radiography in the early course of management of either patient. Upon subsequent re-evaluation it was decided that certain clinical factors required investigation with advanced imaging. In one instance the patient responded to conservative care of low back pain for nine weeks after which she developed severe pain in the pelvis. In the second case the patient presented with signs and symptoms consistent with .
