Anterior cervical wedge fracture: Difference between revisions
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==Background== | ==Background== | ||
* | *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== | ||
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{ | {{Blunt neck trauma DDX}} | ||
== | ==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
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Clinical Features
- Neck pain after trauma
- May have cord injury symptoms (complete vs. incomplete)
Differential Diagnosis
Neck Trauma
- Penetrating neck trauma
- Blunt neck trauma
- Cervical injury
- Neurogenic shock
- Spinal cord injury
Evaluation
- CT scan to evaluate
- MRI may be useful, especially if neuro symptoms, as often associated posterior ligamentous injury
Management
- Prehospital Immobilization see NAEMSP National Guidelines for Spinal Immobilization
- Keep in C-collar