Cervical spine fracture C1/2

Case contributed by Gerry Gardner
Diagnosis certain

Presentation

Presented to chiropractor 7 weeks post fall, complaining of upper neck pain.

Patient Data

Age: 95 years
Gender: Male
x-ray

Lucencies through the posterior elements and indistinct anterior margin of odontoid seen. Degenerative mid and lower cervical region. Possible lucency across the base of the peg and unequal atlantoaxial joints with possible overhang on the left in the presence of degenerative change. Degenerative changes noted on the AP projection

Type 2 odontoid fracture with slight posterior tilt. 

Fracture through posterior elements of C1. 

This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Case Discussion

The patient presented 7 weeks post fall complaining of upper cervical pain to his chiropractor.

The patient was referred on to hospital for a CT scan which confirmed fracture of the dens and axis.

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