Difference between revisions of "Anterior cervical wedge fracture"

(Differential Diagnosis)
 
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==Background==
 
==Background==
*Only unstable if over half of vertebral height lost OR multiple adjacent wedge fractures
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*Unstable if over half of vertebral height lost '''OR''' multiple adjacent wedge fractures
 +
[[File:Anterior wedge fracture.jpeg|thumb|Fracture at C6]]
 +
 
 +
{{Vertebral fractures and dislocations types}}
  
 
==Clinical Features==
 
==Clinical Features==
*Neck pain after trauma
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*[[Neck trauma|Neck pain after trauma]]
 
*May have cord injury symptoms (complete vs. incomplete)
 
*May have cord injury symptoms (complete vs. incomplete)
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
{{Cervical spine injuries}}
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{{Blunt neck trauma DDX}}
  
==Workup==
+
==Evaluation==
 
*CT scan to evaluate
 
*CT scan to evaluate
*MRI may be useful, especially if neuro symptoms, as often associated posterior ligamentous injury  
+
*MRI may be useful, especially if neuro symptoms, as often associated posterior ligamentous injury
 +
 
 
==Management==
 
==Management==
 
*Prehospital Immobilization see [[EBQ:Prehospital Spine Immobilization|NAEMSP National Guidelines for Spinal Immobilization]]
 
*Prehospital Immobilization see [[EBQ:Prehospital Spine Immobilization|NAEMSP National Guidelines for Spinal Immobilization]]

Latest revision as of 13:18, 24 October 2020

Background

  • Unstable if over half of vertebral height lost OR multiple adjacent wedge fractures
Fracture at C6

Vertebral fractures and dislocations types

Vertebral anatomy.

Clinical Features

Differential Diagnosis

Neck Trauma

Evaluation

  • CT scan to evaluate
  • MRI may be useful, especially if neuro symptoms, as often associated posterior ligamentous injury

Management

Disposition

See Also

External Links