C1 isolated anterior arch fracture: Difference between revisions
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==Background== | ==Background== | ||
*Cervical spine fracture | *Stable Cervical spine fracture | ||
* | *Also called a Landells Atlas Type I fracture or plough fracture | ||
==Mechanism== | |||
*Axial compression, hyperextension, or lateral compression | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Cervical spine injuries}} | {{Cervical spine injuries}} | ||
==Imaging== | |||
*CT test of choice to eval for associated fx's | |||
*MRI can evaluate ligamentous injury (transverse ligament is primary AA jxn stabilizer) | |||
==Management== | ==Management== | ||
*Hard collar for 6-12 weeks | |||
**Neurosurgery may prefer Halo immobilization | |||
*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== | ||
*Usually discharge (if truly isolated) in consultation with neurosurgery | |||
==See Also== | ==See Also== | ||
*[[Cervical spine injuries]] | *[[Cervical spine injuries]] | ||
*[[C-Spine X-Ray]] | |||
==References== | |||
*http://www.orthobullets.com/spine/2015/atlas-fracture-and-transverse-ligament-injuries | |||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revision as of 05:19, 26 April 2017
Background
- Stable Cervical spine fracture
- Also called a Landells Atlas Type I fracture or plough fracture
Mechanism
- Axial compression, hyperextension, or lateral compression
Differential Diagnosis
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Imaging
- CT test of choice to eval for associated fx's
- MRI can evaluate ligamentous injury (transverse ligament is primary AA jxn 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