Difference between revisions of "Anterior cervical wedge fracture"
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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== | ||
| Line 18: | Line 25: | ||
*[[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
Contents
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
- Cervical fractures and dislocations
- 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