Difference between revisions of "Anterior cervical wedge fracture"

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==Background==
 
==Background==
*Only unstable if lose over half of vertebral height OR multiple adjacent wedge fractures
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*Unstable if over half of vertebral height lost '''OR''' multiple adjacent wedge fractures
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[[File:Anterior wedge fracture.jpeg|thumb|Fracture at C6]]
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{{Vertebral fractures and dislocations types}}
  
 
==Clinical Features==
 
==Clinical Features==
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*[[Neck trauma|Neck pain after trauma]]
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*May have cord injury symptoms (complete vs. incomplete)
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
{{Cervical spine injuries}}
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{{Blunt neck trauma DDX}}
  
==Workup==
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==Evaluation==
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*CT scan to evaluate
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*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]]
*
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*Keep in C-collar
  
 
==Disposition==
 
==Disposition==
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*[[Cervical spine injuries]]
 
*[[Cervical spine injuries]]
  
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==External Links==
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*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
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