Difference between revisions of "Cervical burst fracture"

(Background)
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==Background==
 
==Background==
*''For C1 Cervical burst fracture, see [[Jefferson fracture]]
+
*''For C1 burst fracture, see [[Jefferson fracture]]
 
*Unstable if:
 
*Unstable if:
 
**Associated neurologic deficits
 
**Associated neurologic deficits

Revision as of 16:36, 26 May 2017

Background

  • For C1 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

Orthobullets