Cervical spine fractures with vertebral artery dissection

Case contributed by Dr Andrew Dixon


High speed car accident.

Patient Data

Age: 30
Gender: Male

CT Cervical Spine

Type 3 dens fracture, left sided cervical transverse process fractures and C7 spinous process fracture. Impression of thin anterior epidural haematoma extending inferiorly from the dens fracture. Traumatic occlusion of the left vertebral artery with enhancement in the intracranial portion likely due to retrograde flow and short segment enhancement at the C3 level due to a collateral vessel. Fractures involve the left transverse foramen at C5 and C6 and the left C7 transverse process fracture is significantly displaced. The traumatic left vertebral artery dissection probably occurred in this region. 

Case Discussion

Multiple cervical injuries including type 3 dens fracture, left transverse process fractures, C7 spinous process fracture and traumatic left vertebral artery dissection / occlusion. 

PlayAdd to Share

Case information

rID: 32135
Published: 16th Nov 2014
Last edited: 20th Jul 2017
System: Spine
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.