Difference between revisions of "Cervical burst fracture"

(Disposition)
Line 24: Line 24:
  
 
==Disposition==
 
==Disposition==
*Generally admission
+
*Generally admit
 +
 
 
==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 admit

See Also

References