Diferencia entre revisiones de «C1 isolated posterior arch fracture»
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*[[C1 isolated anterior arch fracture]] | *[[C1 isolated anterior arch fracture]] | ||
*[[Jefferson fracture]] | *[[Jefferson fracture]] | ||
==References== | ==References== | ||
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[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revisión del 06:54 13 jul 2017
Background
- Stable cervical spine fracture
- Anterior arch and transverse ligament are unaffected
- Also called a Landells Atlas Type I fracture
- Rule out burst fracture
Mechanism
- Due to forced neck extension
Differential Diagnosis
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Imaging
- Vertical fracture line through posterior arch seen on lateral x-ray
- CT test of choice to evaluate for associated fractures
- MRI can evaluate ligamentous injury (transverse ligament is primary AA junction stabilizer)
Management
- Hard collar for 6-12 weeks
- Neurosurgery may prefer Halo immobilization
- Prehospital Immobilization see NAEMSP National Guidelines for Spinal Immobilization
Disposition
- Usually discharge (if truly isolated) in consultation with neurosurgery