Diferencia entre revisiones de «Flexion cervical teardrop fracture»
(Created page with "==Background== *Is an unstable spine injury ==Clinical Features== *Severe flexion > vertebral body colliding with the one below (shallow water di...") |
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==Background== | ==Background== | ||
*Is an [[unstable spine fractures|unstable spine injury]] | *Is an [[unstable spine fractures|unstable spine injury]] | ||
{{Vertebral fractures and dislocations types}} | |||
==Clinical Features== | ==Clinical Features== | ||
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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== | ||
{{ | {{Blunt neck trauma DDX}} | ||
== | ==Evaluation== | ||
*Cervical xrays or CT | |||
==Management== | ==Management== | ||
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==See Also== | ==See Also== | ||
*[[Cervical spine injuries]] | *[[Cervical spine injuries]] | ||
==References== | |||
<references/> | |||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category: | [[Category:Orthopedics]] | ||
Revisión actual - 13:18 24 oct 2020
Background
- Is an unstable spine injury
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
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
Neck Trauma
- Penetrating neck trauma
- Blunt neck trauma
- Cervical injury
- Neurogenic shock
- Spinal cord injury
Evaluation
- Cervical xrays or CT
Management
Prehospital Immobilization
See NAEMSP National Guidelines for Spinal Immobilization
Hospital
- C-collar
- Consult ortho or spine as needed
Disposition
- Admit
See Also
References
- ↑ 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.