Extension cervical teardrop fracture: Difference between revisions
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==Background== | ==Background== | ||
*Is an [[unstable spine fractures|unstable spine injury]] | *Is an [[unstable spine fractures|unstable spine injury]] | ||
{{Vertebral fractures and dislocations types}} | |||
==Clinical Features== | ==Clinical Features== | ||
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{ | {{Blunt neck trauma DDX}} | ||
== | ==Diagnosis== | ||
==Management== | ==Management== | ||
Latest revision as of 13:18, 24 October 2020
Background
- Is an unstable spine injury
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Clinical Features
- Abrupt neck extension > anterior longitudinal ligament avulses anteroinferior corner
- Avulsed fragment is greater in height than width (contrast with flexion cervical teardrop fracture)
- Often occurs at C5-C7 associated with diving accidents
- Associated with central cord syndrome
Differential Diagnosis
Neck Trauma
- Penetrating neck trauma
- Blunt neck trauma
- Cervical injury
- Neurogenic shock
- Spinal cord injury
Diagnosis
Management
Prehospital Immobilization
See NAEMSP National Guidelines for Spinal Immobilization
Hospital
- C-collar
- Consult ortho or spine as needed
Disposition
- Admit