C1 isolated posterior arch fracture: Difference between revisions
(Text replacement - "fx" to "fracture") |
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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 | |||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 15:30, 3 May 2017
Background
- Stable cervical spine fracture
- Anterior arch and transverse ligament are unaffected
- Also called a Landells Atlas Type I fracture
Clinical Features
- Due to forced neck extension
Differential Diagnosis
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Workup
- Must ensure that you are not confusing this with a burst fracture
- Odontoid view must be normal
- Vertical fracture line through posterior arch seen on lateral xray
Management
- Prehospital Immobilization see NAEMSP National Guidelines for Spinal Immobilization