Cervical spine fracture C1/2

Case contributed by Gerry Gardner

Presentation

Presented to chiropractor 7 weeks post fall, complaining of upper neck pain.

Patient Data

Age: 95 years
Gender: Male
X-ray

Lucencies through the posterior elements and indistinct anterior margin of odontoid seen. Degenerative mid and lower cervical region. Possible lucency across the base of the peg and unequal atlantoaxial joints with possible overhang on the left in the presence of degenerative change. Degenerative changes noted on the AP projection

CT

Fracture of C1 and C2

Case Discussion

The patient presented 7 weeks post fall complaining of upper cervical pain to his chiropractor.

The patient was referred on to hospital for a CT scan which confirmed fracture of the dens and axis.

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Case information

rID: 51501
Published: 25th Feb 2017
Last edited: 22nd May 2018
Inclusion in quiz mode: Included

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