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== | ||
*[[Neck trauma|Neck pain after trauma]] | |||
*May have cord injury symptoms (complete vs. incomplete) | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{ | {{Blunt neck trauma DDX}} | ||
== | ==Evaluation== | ||
*CT scan to evaluate | |||
*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]] | ||
* | *Keep in C-collar | ||
==Disposition== | ==Disposition== | ||
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*[[Cervical spine injuries]] | *[[Cervical spine injuries]] | ||
==External Links== | |||
*https://www.orthobullets.com/spine/2018/subaxial-cervical-vertebral-body-fractures | |||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
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