Difference between revisions of "Flexion cervical teardrop fracture"

(Created page with "==Background== *Is an unstable spine injury ==Clinical Features== *Severe flexion > vertebral body colliding with the one below (shallow water di...")
 
(Differential Diagnosis)
 
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==Background==
 
==Background==
 
*Is an [[unstable spine fractures|unstable spine injury]]
 
*Is an [[unstable spine fractures|unstable spine injury]]
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{{Vertebral fractures and dislocations types}}
  
 
==Clinical Features==
 
==Clinical Features==
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**Displacement of teardrop shaped fragment of antero-inferior portion of superior vertebra
 
**Displacement of teardrop shaped fragment of antero-inferior portion of superior vertebra
 
**Leads to posterior displacement of vertebral body and disruption of posterior longitudinal ligament
 
**Leads to posterior displacement of vertebral body and disruption of posterior longitudinal ligament
*Associated with acute anterior cervical cord syndrome
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*Frequently occurs with spinal cord injury<ref>Fujimura, Y., Nishi, Y., Chiba, K. and Kobayashi, K. (1995) ‘Prognosis of neurological deficits associated with upper cervical spine injuries’, Spinal Cord, 33(4), pp. 195–202.</ref>
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**Associated with acute anterior cervical cord syndrome
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
{{Cervical spine injuries}}
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{{Blunt neck trauma DDX}}
  
==Workup==
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==Evaluation==
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*Cervical xrays or CT
  
 
==Management==
 
==Management==
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==See Also==
 
==See Also==
 
*[[Cervical spine injuries]]
 
*[[Cervical spine injuries]]
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==References==
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<references/>
  
 
[[Category:Trauma]]
 
[[Category:Trauma]]
[[Category:Ortho]]
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[[Category:Orthopedics]]

Latest revision as of 13:18, 24 October 2020

Background

Vertebral fractures and dislocations types

Vertebral anatomy.

Clinical Features

  • Severe flexion > vertebral body colliding with the one below (shallow water diving injury, MVC deceleration)
  • Most commonly at C5-C6
    • Displacement of teardrop shaped fragment of antero-inferior portion of superior vertebra
    • Leads to posterior displacement of vertebral body and disruption of posterior longitudinal ligament
  • Frequently occurs with spinal cord injury[1]
    • Associated with acute anterior cervical cord syndrome

Differential Diagnosis

Neck Trauma

Evaluation

  • Cervical xrays or CT

Management

Prehospital Immobilization

See NAEMSP National Guidelines for Spinal Immobilization

Hospital

  • C-collar
  • Consult ortho or spine as needed

Disposition

  • Admit

See Also

References

  1. Fujimura, Y., Nishi, Y., Chiba, K. and Kobayashi, K. (1995) ‘Prognosis of neurological deficits associated with upper cervical spine injuries’, Spinal Cord, 33(4), pp. 195–202.