Difference between revisions of "Cervical burst fracture"

(Differential Diagnosis)
 
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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
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**Compromise of >50% of spinal canal
 
**Compromise of >50% of spinal canal
 
**Axial compression > nucleus pulposus forced into vertebral body
 
**Axial compression > nucleus pulposus forced into vertebral body
 +
 +
{{Vertebral fractures and dislocations types}}
  
 
==Clinical Features==
 
==Clinical Features==
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==Differential Diagnosis==
 
==Differential Diagnosis==
{{Cervical spine injuries}}
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{{Blunt neck trauma DDX}}
  
 
==Evaluation==
 
==Evaluation==
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**AP x-ray - Vertical fracture of the body
 
**AP x-ray - Vertical fracture of the body
 
**Consider MRI - posterior ligament often injured
 
**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]]

Latest revision as of 13:17, 24 October 2020

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

Vertebral fractures and dislocations types

Vertebral anatomy.

Clinical Features

Differential Diagnosis

Neck Trauma

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