Summary
Fifty consecutive patients with soft-tissue neck injuries following rear end collisions were studied prospectively to assess their rate of recovery. Patients were seen within 5 days of the accident, after 3 months, 1 year and 2 years, and their symptoms were classified into one of four groups (A, asymptomatic; B, nuisance; C, intrusive; D, disabling). Fourteen of 15 patients (93%) who were asymptomatic after 3 months remained symptom-free after 2 years. Of 35 patients with symptoms after 3 months, 30 (86%) remained symptomatic after 2 years. After 1 year, 26 (52%) stated that they had recovered completely, but after 2 years this had fallen to 19 (38%). Nine of the 15 patients who had improved between 3 months and 1 year deteriorated to their previous status, or worse, between 1 and 2 years. In asymptomatic cases, a prognosis that is 93% accurate after 2 years can be given after 3 months, and 86% of patients who are symptomatic after 3 months will remain so after 2 years. However, the severity of their symptoms will change during this period and will be at the same degree of severity in less than 50%.
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References
Deans GT, Magalliard JN, Kerr M, Rutherford WH (1987) Neck sprain — a major cause of disability following car accidents. Injury 18:10–12
Gargan MF, Bannister GC (1990) Long term prognosis of soft tissue injuries of the neck. J Bone Joint Surg [Br] 72:901–903
Maimaris C, Barnes MR, Allen MJ (1988) “Whiplash injuries” of the neck: a retrospective study. Injury 19:393–396
McKinney LA (1989) Early mobilisation and outcome in acute sprains of the neck. BMJ 299:1006–1008
Parmar HV, Raymakers R (1993) Neck injuries from rear impact road traffic accidents: prognosis in persons seeking compensation. Injury 24:75–78
Robinson DD, Cassar-Pulliciono VN (1993) Acute neck sprain after road traffic accident: a long term clinical and radiological review. Injury 24:79–82
Watkinson A, Gargan MF, Bannister GC (1991) Prognostic factors in soft tissue injuries of the cervical spine. Injury 23:307–309
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Gargan, M.F., Bannister, G.C. The rate of recovery following whiplash injury. Eur Spine J 3, 162–164 (1994). https://doi.org/10.1007/BF02190579
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DOI: https://doi.org/10.1007/BF02190579