Cervical Fractures (Subscribe)  

# incidence: 4% of cervical spine injuries
# site: * posterior arch * anterior arch * massa lateralis * Jefferson fracture

* incidence: 6% of cervical spine injuries
* associated with atlas fractures in 8%
* hyperflexion injury: odontoid fracture
* hyperextension injury: hangman's fracture

This area of the upper cervical spine is extremely mobile, and its stability is dependent on ligamentous structures. In unresponsive patients or those who are unable to report symptoms or pain, a C1 fracture or an occipital cervical dislocation must be excluded by radiographic screening. Also, displacement of the C1...

Cervical spine (C-spine) injuries are the most feared of all spinal injuries because of the potential for significant deleterious sequelae. Correlation is noted between the level of injury and morbidity/mortality (ie, the higher the level of the C-spine injury - the higher the morbidity and mortality). Craniocervical junction injuries are...

Objectives
1. Describe the incidence and pattern of cervical spine fractures in children
2. Discuss the anatomical features of the child's cervical spine which result in the pattern of injury recorded
3. Describe the optimum management of transport of the young child with an...

Cervical spine fractures lead to substantial morbidity and mortality. Neck injury in athletes can quickly end or change the future of an athlete. Failure to properly recognize and provide early care in cervical spine fracture cases may lead to devastating complications.
Synonyms and related keywords: cervical spine fracture, neck fracture, spinal...

List of cervical spine fractures grouped by mechanism of injury and pattern

Approximately 5-10% of unconscious patients who present to the ED as the result of a motor vehicle accident or fall have a major injury to the cervical spine. Most cervical spine fractures occur predominantly at 2 levels. One third of injuries occur at the level of C2, and one half...

Notes on Cervical spine fractures and spinal cord injury (quadriplegia and partial cord syndromes)

One of the most challenging roles of the team physician involves the intervention and decision-making processes regarding cervical spine (C-spine) injuries in contact sports. The team physician must be well versed in the prevention, evaluation, stabilization, and treatment of C-spine injuries. A high index of suspicion and an understanding of...

avulsion fracture of spinous process of C7 or T1
* sudden load on a flexed spine
* may occur secondary to rotational injury

A patient with thirty years history of ankylosing spondylitis sustained a head and neck injury after a fall.He was transmitted to the emergency department .His GCS was 15 with no findings in neurological examination.He had x-rays of the head and neck which considered normal and the patient discharged from the...

bilateral fracture of pedicles of axis (C2)

Accepted radiology practice for the US military. Les Folo, DO, MPH

burst fracture of atlas (C1)
* widened lateral masses of C1 on open-mouth odontoid view
* vertical compression injury
* unstable