Flexion cervical teardrop fracture: Difference between revisions
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**Displacement of teardrop shaped fragment of antero-inferior portion of superior vertebra | **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 | **Leads to posterior displacement of vertebral body and disruption of posterior longitudinal ligament | ||
*Associated with acute anterior cervical cord syndrome | *Frequently occurs with spinal cord injury<ref>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.</ref> | ||
**Associated with acute anterior cervical cord syndrome | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 09:03, 19 December 2015
Background
- Is an unstable spine injury
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
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Workup
Management
Prehospital Immobilization
See NAEMSP National Guidelines for Spinal Immobilization
Hospital
- C-collar
- Consult ortho or spine as needed
Disposition
- Admit
See Also
- ↑ 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.