Cervical burst fracture: Difference between revisions
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[http://www.orthobullets.com/spine/2018/subaxial-cervical-vertebral-body-fractures Orthobullets] | |||
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Revision as of 15:00, 24 May 2017
Background
- For C1 Cervical 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
Clinical Features
- Neck pain in the setting of trauma
- Complete or incomplete spinal cord injury common
Differential Diagnosis
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
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
- Prehospital Immobilization see NAEMSP National Guidelines for Spinal Immobilization
Disposition
- Generally admit