C1 isolated anterior arch fracture: Difference between revisions
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*Stable Cervical spine fracture | *Stable Cervical spine fracture | ||
*Also called a Landells Atlas Type I fracture or plough fracture | *Also called a Landells Atlas Type I fracture or plough fracture | ||
*Rule out [[Jefferson fracture|burst fracture]] | |||
== | {{Vertebral fractures and dislocations types}} | ||
==Clinical Features== | |||
*Axial compression, hyperextension, or lateral compression | *Axial compression, hyperextension, or lateral compression | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{ | {{Blunt neck trauma DDX}} | ||
== | |||
*CT test of choice to eval for associated | ==Diagnosis== | ||
*CT test of choice to eval for associated fracture's | |||
*MRI can evaluate ligamentous injury (transverse ligament is primary AA jxn stabilizer) | *MRI can evaluate ligamentous injury (transverse ligament is primary AA jxn stabilizer) | ||
| Line 23: | Line 27: | ||
*[[Cervical spine injuries]] | *[[Cervical spine injuries]] | ||
*[[C-Spine X-Ray]] | *[[C-Spine X-Ray]] | ||
*[[C1 isolated posterior arch fracture]] | |||
*[[Jefferson fracture]] | |||
==References== | ==References== | ||
*http://www.orthobullets.com/spine/2015/atlas-fracture-and-transverse-ligament-injuries | *[http://www.orthobullets.com/spine/2015/atlas-fracture-and-transverse-ligament-injuries Orthobullets] | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Latest revision as of 13:17, 24 October 2020
Background
- Stable Cervical spine fracture
- Also called a Landells Atlas Type I fracture or plough fracture
- Rule out burst fracture
Vertebral fractures and dislocations types
- Cervical fractures and dislocations
- Thoracic and lumbar fractures and dislocations
Clinical Features
- Axial compression, hyperextension, or lateral compression
Differential Diagnosis
Neck Trauma
- Penetrating neck trauma
- Blunt neck trauma
- Cervical injury
- Neurogenic shock
- Spinal cord injury
Diagnosis
- CT test of choice to eval for associated fracture'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