Jefferson fracture

Case contributed by Henry Knipe
Diagnosis certain

Presentation

T-boned unrestrained driver. High-speed.

Patient Data

Age: 60 years
Gender: Male
ct
This study is a stack
Axial bone
window
This study is a stack
Sagittal
bone window
This study is a stack
Coronal
bone window
This study is a stack
Axial
non-contrast
This study is a stack
Sagittal
non-contrast
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Info

Multiple fractures, some of which are distracted, through both the anterior and posterior arches of C1; fracture lines extend within close proximity of the vertebral arteries. On the right fracture line extends to the superior articular facet with mild subluxation occurring in the right atlanto-occipital articulation. Mild (4 mm) rotatory subluxation of C1 on C2.

Case Discussion

Jefferson fractures are burst fractures that result from axial loading forces.

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