Anterior cervical wedge fracture: Difference between revisions
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==Background== | ==Background== | ||
*Only unstable if over half of vertebral height lost OR multiple adjacent wedge fractures | *Only unstable if over half of vertebral height lost '''OR''' multiple adjacent wedge fractures | ||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 22:00, 30 May 2017
Background
- Only unstable if over half of vertebral height lost OR multiple adjacent wedge fractures
Clinical Features
- Neck pain after trauma
- May have cord injury symptoms (complete vs. incomplete)
Differential Diagnosis
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Evaluation
- CT scan to evaluate
- MRI may be useful, especially if neuro symptoms, as often associated posterior ligamentous injury
Management
- Prehospital Immobilization see NAEMSP National Guidelines for Spinal Immobilization
- Keep in C-collar