Cervical spine trauma with tear drop fracture and perched facet joint

Case contributed by Dr Heba Abdelmonem


Trauma 15 days ago, no initial image after trauma with increasing intensity of pain 2 days ago.

Patient Data

Age: 40 years
Gender: Male

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:

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