C1 isolated posterior arch fracture: Difference between revisions
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*Also called a Landells Atlas Type I fracture | *Also called a Landells Atlas Type I fracture | ||
*Rule out [[Jefferson fracture|burst fracture]] | *Rule out [[Jefferson fracture|burst fracture]] | ||
== | |||
{{Vertebral fractures and dislocations types}} | |||
==Clinical Features== | |||
*Due to forced neck extension | *Due to forced neck extension | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{ | {{Blunt neck trauma DDX}} | ||
== | ==Diagnosis== | ||
*Vertical fracture line through posterior arch seen on lateral x-ray | *Vertical fracture line through posterior arch seen on lateral x-ray | ||
*CT test of choice to evaluate for associated fractures | *CT test of choice to evaluate for associated fractures | ||
Latest revision as of 13:17, 24 October 2020
Background
- Stable cervical spine fracture
- Anterior arch and transverse ligament are unaffected
- Also called a Landells Atlas Type I fracture
- Rule out burst fracture
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Clinical Features
- Due to forced neck extension
Differential Diagnosis
Neck Trauma
- Penetrating neck trauma
- Blunt neck trauma
- Cervical injury
- Neurogenic shock
- Spinal cord injury
Diagnosis
- Vertical fracture line through posterior arch seen on lateral x-ray
- CT test of choice to evaluate for associated fractures
- MRI can evaluate ligamentous injury (transverse ligament is primary AA junction stabilizer)
Management
- Hard collar for 6-12 weeks
- Neurosurgery may prefer Halo immobilization
- Prehospital Immobilization see NAEMSP National Guidelines for Spinal Immobilization
Disposition
- Usually discharge (if truly isolated) in consultation with neurosurgery