title: A Blast of Mistakes: Undiagnosed Cervical Spondylolisthesis Following a Bomb Explosion.
abstract: BACKGROUND A case of spinal trauma had an unusual clinical course due to medical mistakes, from which we can learn some important lessons. CASE REPORT We report a case of spondylolisthesis following a bomb explosion, which went undiagnosed for a long time because of a series of mistakes that are highlighted in this article. What makes this case unique is that the spondylolisthesis developed during hospital stay, but the patient had no loss of mobility, strength, or sensitivity. CONCLUSIONS This case shows that establishing the conditions of an organ or a body part upon admission to hospital may not be enough when a patient has suffered extensive and serious trauma, and that it is necessary to carry out more checkups over time, especially if there are new clues and symptoms.
authors.affiliation: Department of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Caruso
authors.affiliation: Department of Neurosurgery, Army Hospital of Rome "Celio", Rome, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Marrocco
authors.affiliation: Department of Neurosurgery, Army Hospital of Rome "Celio", Rome, Italy.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Piccione
authors.affiliation: Department of Neurosurgery, Army Hospital of Rome "Celio", Rome, Italy.
authors.forename: Venceslao
authors.initials: V
authors.lastname: Wierzbicki
mesh_terms: D001753:Blast Injuries / Q000150:complications*; D054042:Bombs; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery; D003951:Diagnostic Errors; D005107:Explosions; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology; D013168:Spondylolisthesis / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D055815:Young Adult