Cervical fractures and dislocations: Difference between revisions
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== | {{Adult top}} [[cervical injury (peds)]] | ||
==Background== | |||
[[File:Grant 1962 664.png|thumb|Sensation of cervical nerve roots]] | |||
[[File:Three-column-concept-2.jpg|thumb|Three column concept of spinal fracture stability]] | |||
{{Cervical spine injuries}} | {{Cervical spine injuries}} | ||
== | ==Clinical Features== | ||
*See [[blunt neck trauma]] | C-spine injuries may present with | ||
*Rarely [[neurogenic shock]] (bradycardia, hypotension) | |||
*Posterior neck pain | |||
*Pain on palpation of spinous processes | |||
*Limited neck ROM with pain | |||
*Weakness, numbness, or paresthesias | |||
==Differential Diagnosis== | |||
{{Blunt neck trauma DDX}} | |||
==Evaluation== | |||
*See [[blunt neck trauma]] for general workup | |||
==Management== | ==Management== | ||
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*Hospital | *Hospital | ||
**See page for specific fracture | **See page for specific fracture | ||
**[[Cervical spine clearance]] | |||
==Disposition== | |||
==See Also== | ==See Also== | ||
*[[Cervical spine clearance]] | |||
*[[C-Spine (EAST)]] | |||
*[[Penetrating neck trauma]] | *[[Penetrating neck trauma]] | ||
*[[Spinal Cord Trauma]] | *[[Spinal Cord Trauma]] | ||
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*[[Unstable spine fractures]] | *[[Unstable spine fractures]] | ||
*[[Vertebral fractures]] | *[[Vertebral fractures]] | ||
*[[Cervical injury (peds)]] | |||
{{Blunt neck trauma DDX}} | |||
==See Also== | ==See Also== | ||
*[[Blunt neck trauma]] | *[[Blunt neck trauma]] | ||
== | ==References== | ||
<references/> | |||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category: | [[Category:Orthopedics]] | ||
Revision as of 14:16, 22 February 2020
This page is for adult patients. For pediatric patients, see: cervical injury (peds)
Background
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Clinical Features
C-spine injuries may present with
- Rarely neurogenic shock (bradycardia, hypotension)
- Posterior neck pain
- Pain on palpation of spinous processes
- Limited neck ROM with pain
- Weakness, numbness, or paresthesias
Differential Diagnosis
Neck Trauma
- Penetrating neck trauma
- Blunt neck trauma
- Cervical injury
- Neurogenic shock
- Spinal cord injury
Evaluation
- See blunt neck trauma for general workup
Management
- Prehospital
- Hospital
- See page for specific fracture
- Cervical spine clearance
Disposition
See Also
- Cervical spine clearance
- C-Spine (EAST)
- Penetrating neck trauma
- Spinal Cord Trauma
- Spinal Cord Compression (Non-Traumatic)
- Neurogenic Shock
- Unstable spine fractures
- Vertebral fractures
- Cervical injury (peds)
Neck Trauma
- Penetrating neck trauma
- Blunt neck trauma
- Cervical injury
- Neurogenic shock
- Spinal cord injury