Extension cervical teardrop fracture: Difference between revisions
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Revision as of 15:47, 22 March 2016
Background
- Is an unstable spine injury
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
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Workup
Management
Prehospital Immobilization
See NAEMSP National Guidelines for Spinal Immobilization
Hospital
- C-collar
- Consult ortho or spine as needed
Disposition
- Admit