Jefferson fracture

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Recent head trauma.

Patient Data

Age: 15
Gender: Male
CT

Bilateral comminuted fracture of the anterior and posterior arches of C1 vertebra with mild displacement and free bone fragments. Mild lateral displacement of lateral atlas masses, seen on coronal view.

Undisplaced transverse fracture of the Dens (odontoid process) with the lateral masses of CV2. The fracture line is extending to lateral masses of CV2 with cortical interruptions (type III Dens fracture), best seen in coronal images. There is associated elevated periosteum and subperiosteal hyperdense collection (subperiosteal hematoma), best seen on sagittal images.

Case Discussion

This is a post traumatic case that demonstrates Jefferson (C1) and odontoid (C2) fractures.

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Case information

rID: 51939
Case created: 14th Mar 2017
Last edited: 26th Mar 2017
Systems: Spine, Trauma
Inclusion in quiz mode: Included

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