Difference between revisions of "Cervical burst fracture"

Line 1: Line 1:
 
==Background==
 
==Background==
 +
*''For C1 Cervical burst fracture, see [[Jefferson fracture]]
 
*Unstable if:
 
*Unstable if:
 
**Associated neurologic deficits
 
**Associated neurologic deficits
Line 8: Line 9:
  
 
==Clinical Features==
 
==Clinical Features==
 
+
*Neck pain in the setting of trauma
 +
*Complete or incomplete [[Spinal cord trauma|spinal cord injury]] common
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
Line 17: Line 19:
 
**Lateral x-ray - Comminuted body and loss of vertebral height
 
**Lateral x-ray - Comminuted body and loss of vertebral height
 
**AP x-ray - Vertical fracture of the body
 
**AP x-ray - Vertical fracture of the body
 
+
**Consider MRI - posterior ligament often injured
 
==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]]
  
 
==Disposition==
 
==Disposition==
 
+
*Generally admission
 
 
 
==See Also==
 
==See Also==
 
*[[Cervical spine injuries]]
 
*[[Cervical spine injuries]]

Revision as of 14:59, 24 May 2017

Background

  • For C1 Cervical burst fracture, see Jefferson fracture
  • Unstable if:
    • Associated neurologic deficits
    • Loss of >50% of vertebral body height
    • >20 degrees of spinal angulation
    • Compromise of >50% of spinal canal
    • Axial compression > nucleus pulposus forced into vertebral body

Clinical Features

Differential Diagnosis

Vertebral fractures and dislocations types

Vertebral anatomy.

Evaluation

  • Imaging
    • Lateral x-ray - Comminuted body and loss of vertebral height
    • AP x-ray - Vertical fracture of the body
    • Consider MRI - posterior ligament often injured

Management

Disposition

  • Generally admission

See Also

References