Anterior cervical wedge fracture: Difference between revisions
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==Background== | ==Background== | ||
*Only unstable if | *Only unstable if over half of vertebral height lost OR multiple adjacent wedge fractures | ||
==Clinical Features== | ==Clinical Features== | ||
*Neck pain after trauma | |||
*May have cord injury symptoms (complete vs. incomplete) | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Workup== | ==Workup== | ||
*CT scan to evaluate | |||
*MRI may be useful, especially if neuro symptoms, as often associated posterior ligamentous injury | |||
==Management== | ==Management== | ||
*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]] | ||
* | *Keep in C-collar | ||
==Disposition== | ==Disposition== | ||
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*[[Cervical spine injuries]] | *[[Cervical spine injuries]] | ||
==External Links== | |||
*https://www.orthobullets.com/spine/2018/subaxial-cervical-vertebral-body-fractures | |||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revision as of 10:16, 15 March 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
Workup
- 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