Jefferson fracture in DISH

Case contributed by Chris O'Donnell

Presentation

Heavily intoxicated, fall, now stiff neck. Moving all limbs

Patient Data

Age: 70 years
Gender: Male
ct

Typical pattern of a Jefferson fracture including the anterior and posterior arches.

No lateral displacement of the lateral masses.

Case Discussion

In this case the dens is displaced anteriorly in relation to the tip of the clivus.

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