Cervical burst fracture: Difference between revisions
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==Background== | ==Background== | ||
*''For C1 Cervical burst fracture, see [[Jefferson fracture]] | |||
*Unstable if: | *Unstable if: | ||
**Associated neurologic deficits | **Associated neurologic deficits | ||
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==Clinical Features== | ==Clinical Features== | ||
*Neck pain in the setting of trauma | |||
*Complete or incomplete [[Spinal cord trauma|spinal cord injury]] common | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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**Lateral x-ray - Comminuted body and loss of vertebral height | **Lateral x-ray - Comminuted body and loss of vertebral height | ||
**AP x-ray - Vertical fracture of the body | **AP x-ray - Vertical fracture of the body | ||
**Consider MRI - posterior ligament often injured | |||
==Management== | ==Management== | ||
*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== | ||
*Generally admission | |||
==See Also== | ==See Also== | ||
*[[Cervical spine injuries]] | *[[Cervical spine injuries]] | ||
Revision as of 14:59, 24 May 2017
Background
- For C1 Cervical burst fracture, see Jefferson fracture
- Unstable if:
- Associated neurologic deficits
- Loss of >50% of vertebral body height
- >20 degrees of spinal angulation
- Compromise of >50% of spinal canal
- Axial compression > nucleus pulposus forced into vertebral body
Clinical Features
- Neck pain in the setting of trauma
- Complete or incomplete spinal cord injury common
Differential Diagnosis
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Evaluation
- Imaging
- Lateral x-ray - Comminuted body and loss of vertebral height
- AP x-ray - Vertical fracture of the body
- Consider MRI - posterior ligament often injured
Management
- Prehospital Immobilization see NAEMSP National Guidelines for Spinal Immobilization
Disposition
- Generally admission