Jefferson fracture

Case contributed by Dr Andrew Dixon

Presentation

Car accident. Vertex scalp haematoma.

Patient Data

Age: 65
Gender: Male

Trauma Radiology Course  Edinburgh June 11  |  Melbourne July 9  |  Video On-Demand August 1

X-ray

Cervical Spine

Lateral image demonstrates prominent upper cervical spine prevertebral swelling and a defect in the posterior arch of C1. The PEG view shows lateral displacement of the lateral masses of C1 relative to C2. Appearances are consistent with a Jefferson fracture of C1 (burst type fracture). 

CT

Cervical Spine CT

CT confirms a Jefferson fracture of C1 with single fractures through the anterior and posterior arches. Note the small amount of healing new bone formation consistent with this CT being performed several weeks after the initial injury. 

Case Discussion

Typical x-ray and CT appearance of a Jefferson fracture (burst type fracture of C1). 

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Case information

rID: 31792
Case created: 28th Oct 2014
Last edited: 27th Apr 2017
Systems: Spine, Trauma
Inclusion in quiz mode: Included

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