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By Amanda Batchelor - Senior Digital Editor, Madeleine Wright - Reporter

More Mexico Bus Crash Headlines

PORT EVERGLADES, Fla. - Royal Caribbean's Serenade of the Seas cruise ship arrived at Port Everglades early Friday, days after four of its passengers were involved in a fatal bus crash in Quintana Roo, Mexico.

PORT EVERGLADES, Fla.

Passengers who departed the shipFriday morning told Local 10 News reporter Madeleine Wright that the ship was delayed leaving Mexico because of the crash.

More Mexico Bus Crash Headlines

One passenger, Mark Pelfrey, told Local 10 News that cruise line employees told passengers that one person aboard the Serenade of the Seas had died and the three others were injured. A Royal Caribbean spokesman later confirmed that statement.

Pelfreysaid he was also aboard a tour bus that was behind the one that crashed on Tuesday.

According to Pelfrey, who is a paramedic from Ohio, his tour bus paused after spotting the crash scene, but never stopped to help.

Pelfrey, who took video of the scene before first responders arrived,said there was at least one other EMT on his bus.

A woman who departed thecruiseFriday said she is glad to be back on land and is just grateful that she wasn't on the bus when it crashed.

"I was telling my mom, 'it can happen to any of us.' We're lucky, becausewe were extremely sad over what happened to thosepeople -- extremely sad," Sandra Novoa said.

The head’s rotation mostly involves movement around the dens. Any additional friction or obstacles within this C1-C2 joint—such as occurring from calcifications associated with crowned dens syndrome—can potentially increase inflammation and neck pain.

Article continues below

Crowned dens syndrome is unlikely to be among the first causes suspected for neck pain due to its rarity. However, if the doctor eventually requests a CT scan of the cervical spine, crowned dens syndrome can be relatively easy to spot. CT scans use a computer to create cross-sections from multiple X-ray images, which can show even small abnormalities in bones.

If the patient is experiencing neck pain and other symptoms, and the CT scan shows the “crown” of calcifications that have formed on the dens, crowned dens syndrome is the official diagnosis.

Crowned dens syndrome is typically treated non-surgically with prescription anti-inflammatory medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and colchicine, or corticosteroids, such as prednisolone.

See Medications for Back Pain and Neck Pain

Most cases of symptomatic crowned dens syndrome resolve within a few weeks or months—possibly due to resorption of the calcium deposits. In cases where the symptoms persist longer, surgery may be considered, especially if inflammation and/or calcifications have started to cause spinal cord compression.

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