Cervical fractures and dislocations: Difference between revisions
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[[File:Grant 1962 664.png|thumb|Sensation of cervical nerve roots]] | [[File:Grant 1962 664.png|thumb|Sensation of cervical nerve roots]] | ||
[[File:Three-column-concept-2.jpg|thumb|Three column concept of spinal fracture stability]] | [[File:Three-column-concept-2.jpg|thumb|Three column concept of spinal fracture stability]] | ||
{{Vertebral fractures and dislocations types}} | {{Vertebral fractures and dislocations types}} | ||
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Blunt neck trauma DDX}} | {{Blunt neck trauma DDX}} | ||
{{Neck pain DDX}} | |||
==Evaluation== | ==Evaluation== | ||
[[File:Vertebral lines.png|thumb|Plain films lines]] | |||
*See [[blunt neck trauma]] for general workup | *See [[blunt neck trauma]] for general workup | ||
Latest revision as of 19:42, 9 October 2024
This page is for adult patients. For pediatric patients, see: cervical injury (peds)
Background
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Clinical Features
C-spine injuries may present with
- Rarely neurogenic shock (bradycardia, hypotension)
- Posterior neck pain
- Pain on palpation of spinous processes
- Limited neck ROM with pain
- Weakness, numbness, or paresthesias
Differential Diagnosis
Neck Trauma
- Penetrating neck trauma
- Blunt neck trauma
- Cervical injury
- Neurogenic shock
- Spinal cord injury
Neck pain
- Musculoskeletal
- Torticollis
- Dystonic reaction
- Cervical spondylosis
- Cervical stenosis
- Cancer
- Epidural abscess
- Vertebral osteomyelitis
- Transverse myelitis
- Temporal arteritis
- Epidural hematoma (anticoagulation, hemophilia)
- Cervical disk herniation
- Blunt neck trauma
- Anterior horn disease
- Cervical fractures and dislocations
- Cervical radiculopathy
Evaluation
- See blunt neck trauma for general workup
Management
- Prehospital
- Hospital
- See page for specific fracture
- Cervical spine clearance
Disposition
See Also
- Blunt neck trauma
- Cervical spine clearance
- C-Spine (EAST)
- Penetrating neck trauma
- Spinal Cord Trauma
- Spinal Cord Compression (Non-Traumatic)
- Neurogenic Shock
- Unstable spine fractures
- Vertebral fractures
- Cervical injury (peds)