Jefferson fracture

Case contributed by Varun Babu
Diagnosis certain

Presentation

High velocity road traffic accident - neck stiffness, restricted movement and severe pain

Patient Data

Age: 60 years
Gender: Male

CT cervical spine

ct
  • disrupted anterior and posterior arches of atlas (4 part fracture). 
  • secondary basilar invagination (cranial odontoid peg migration). 
  • atlanto occipital impaction. 

Case Discussion

High velocity axial loading on C1 results in the Jefferson fracture. 

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