Cervical spine fractures

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Trauma.

Patient Data

Age: 45 years
Gender: Male
x-ray
  • teardrop fracture of C2 involving the anterior inferior body

  • no anterior displacement of C2 on C3

  • minimally displaced fracture of the posterior arch of C1

  • fracture line through C6 vertebrae spinous process

Case Discussion

Cervical spine fractures can occur secondary to exaggerated flexion or extension, or because of direct trauma or axial loading. C2 (~30%) and C7 (~20%) are the most commonly fractured levels 1.

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