Anterior cervical wedge fracture: Difference between revisions
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{{Cervical spine injuries}} | {{Cervical spine injuries}} | ||
== | ==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]] | ||
Revision as of 20:00, 20 March 2017
Background
- Only unstable if over half of vertebral height lost OR multiple adjacent wedge fractures
Clinical Features
- Neck pain after trauma
- May have cord injury symptoms (complete vs. incomplete)
Differential Diagnosis
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
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