Difference between revisions of "Flexion cervical teardrop fracture"

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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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==Differential Diagnosis==
 
==Differential Diagnosis==
{{Cervical spine injuries}}
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{{Blunt neck trauma DDX}}
  
==Diagnosis==
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==Evaluation==
 
*Cervical xrays or CT
 
*Cervical xrays or CT
  

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.