Cervical spine trauma with tear drop fracture and perched facet joint
Presentation
Trauma 15 days ago, no initial image after trauma with increasing intensity of pain 2 days ago.
Patient Data
Anterior translation of C6 over C7 associated with left unilateral distraction of the C6-7 left facet joint as well as fracture of the C6 para interarticularis on the left side. Anterior wedging of C7 and T3 superior end plates with small detached bony fragment. Avulsion of the antero-inferior corner of the C3 vertebral body.
Annotated image demonstrates the inferior facets of C6 are perched on the superior facets of C7 and are at risk of dislocation.
Case Discussion
Post-traumatic multiple injuries of the cervical spine include:
- C3 hyperextension teardrop fracture
- anterior translation of C6 over C7 with C6-7 perched facet joint on the left side
- C6 left spondylolysis
- C7 and T3 superior end plate anterior wedge fractures