Flexion tear drop fracture dislocation of the cervical spine

Case contributed by Dr Mohammad A. ElBeialy

Presentation

Trauma.

Patient Data

Gender: Male

Hyper flexion tear-drop fracture-dislocation of C5 vertebra (severe axial loading with neck flexed) with small tear drop fracture anteriorly and large part against the cord and fractured left lamina of L5 as well as marked posterior displacement of the fractured C5 vertebra with significant cord compression and intra-substance haemorrhage demonstrating patchy hypointense T2 signal within the cord oedema (this implies poorer outcome).

Associated large preverterbal haematoma is seen extending from the skull base down to C5.

Bilateral facetal dislocation at C5/C6 with disruption of the posterior longitudinal ligament (PLL).

Case Discussion

Cervical spine fracture dislocation. 

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Case information

rID: 21499
Case created: 27th Jan 2013
Last edited: 8th Feb 2017
Tag: spine
Inclusion in quiz mode: Included

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