Cervical fractures and dislocations: Difference between revisions

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==Background==
==Types==
[[File:Three-column-concept-2.jpg|thumb|Three column concept of spinal fracture stability]]
*Suspect vascular damage to cord if discrepancy between neuro deficit and level of spinal column injury
*Cord injury is more likely if anterior (vertebral bodies) AND posterior (spinal canal) columns are disrupted
*Penetrating injury rarely results in unstable fracture
 
==Fractures and Related==
{{Cervical spine injuries}}
{{Cervical spine injuries}}


==Workup==
==Workup==
*If find injury consider CT C-spine, x-ray rest of spine
*See [[blunt neck trauma]]


==Management==
==Management==
*Prehospital: see the [[EBQ:Prehospital Spine Immobilization|NAEMSP National Guidelines for Spinal Immobilization]]
*Prehospital: see the [[EBQ:Prehospital Spine Immobilization|NAEMSP National Guidelines for Spinal Immobilization]]
*See particular fracture


==See Also==
==See Also==
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==Source==
==Source==
*National Spinal Cord Injury Statistical Center (NSCISC). Spinal Cord Injury. Facts and Figures at a Glance. Birmingham, Ala: NSCISC; July 1996
*Ivy ME, Cohn SM. Addressing the myths of cervical spine injury management. Am J Emerg Med. Oct 1997;15(6):591-5
*Woodring JH, Lee C, Duncan V. Transverse process fractures of the cervical vertebrae: are they insignificant? J Trauma. June 1993; 34(6):797-802.
*Tintinalli's


[[Category:Trauma]]
[[Category:Trauma]]
[[Category:Ortho]]
[[Category:Ortho]]

Revision as of 08:03, 27 January 2015