Difference between revisions of "Cervical burst fracture"

(Text replacement - "Category:Ortho" to "Category:Orthopedics")
(Differential Diagnosis)
 
(7 intermediate revisions by 3 users not shown)
Line 1: Line 1:
 
==Background==
 
==Background==
 +
*''For C1 burst fracture, see [[Jefferson fracture]]
 
*Unstable if:
 
*Unstable if:
 
**Associated neurologic deficits
 
**Associated neurologic deficits
Line 6: Line 7:
 
**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==
 +
*Neck pain in the setting of trauma
 +
*Complete or incomplete [[Spinal cord trauma|spinal cord injury]] common
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
{{Cervical spine injuries}}
+
{{Blunt neck trauma DDX}}
  
==Workup==
+
==Evaluation==
 
*Imaging
 
*Imaging
 
**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 admit
  
 
==See Also==
 
==See Also==
 
*[[Cervical spine injuries]]
 
*[[Cervical spine injuries]]
 +
 +
==References==
 +
<references/>
 +
[http://www.orthobullets.com/spine/2018/subaxial-cervical-vertebral-body-fractures Orthobullets]
  
 
[[Category:Trauma]]
 
[[Category:Trauma]]
 
[[Category:Orthopedics]]
 
[[Category:Orthopedics]]

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