Jefferson fracture

Case contributed by Dr Henry Knipe


T-boned unrestrained driver. High-speed.

Patient Data

Age: 60
Gender: Male

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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Case information

rID: 38828
Published: 6th Aug 2015
Last edited: 26th Aug 2019
Inclusion in quiz mode: Included

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