C1 isolated posterior arch fracture: Difference between revisions
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==Background== | ==Background== | ||
*Stable | *Stable cervical spine fracture | ||
**Anterior arch and transverse ligament are unaffected | **Anterior arch and transverse ligament are unaffected | ||
*Also called a Landells Atlas Type I fracture | |||
*Rule out [[Jefferson fracture|burst fracture]] | |||
{{Vertebral fractures and dislocations types}} | |||
==Clinical Features== | ==Clinical Features== | ||
| Line 7: | Line 11: | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{ | {{Blunt neck trauma DDX}} | ||
*Vertical fracture line through posterior arch seen on lateral | ==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== | ==Management== | ||
*Hard collar for 6-12 weeks | |||
**Neurosurgery may prefer Halo immobilization | |||
*Prehospital Immobilization see [[EBQ:Prehospital Spine Immobilization|NAEMSP National Guidelines for Spinal Immobilization]] | *Prehospital Immobilization see [[EBQ:Prehospital Spine Immobilization|NAEMSP National Guidelines for Spinal Immobilization]] | ||
==Disposition== | ==Disposition== | ||
*Usually discharge (if truly isolated) in consultation with neurosurgery | |||
==See Also== | ==See Also== | ||
*[[Cervical spine injuries]] | *[[Cervical spine injuries]] | ||
*[[C-Spine X-Ray]] | |||
*[[C1 isolated anterior arch fracture]] | |||
*[[Jefferson fracture]] | |||
==References== | |||
<references/> | |||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
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