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It is not unusual for patients to walk in for treatment and have such a fracture discovered on X-rays. Only if the force of the injury is severe enough that the vertebral body of C2 is severely subluxed from C3 does the spinal cord become crushed, usually between the vertebral body of C3 and the posterior elements of C1 and C2. [citation needed]
Fracture of C1, including Jefferson fracture; Fracture of C2, including Hangman's fracture; Flexion teardrop fracture – a fracture of the anteroinferior aspect of a cervical vertebra; The AO Foundation has developed a descriptive system for cervical fractures, the AOSpine subaxial cervical spine fracture classification system. [9]
A Jefferson fracture is a bone fracture of the anterior and posterior arches of the C1 vertebra, [1] though it may also appear as a three- or two-part fracture. The fracture may result from an axial load on the back of the head or hyperextension of the neck (e.g. caused by diving), causing a posterior break, and may be accompanied by a break in other parts of the cervical spine.
The Jefferson fracture can be associated with this injury, with the C1 ring, or atlas, being fractured in several places, allowing the spine to shift forward relative to the skull base. The Hangman's fracture which is a fracture of the C2 vertebral body or dens of the cervical spine upon which the skull base sits to allow the head to rotate ...
Cervical vertebra. The pars interarticularis, or pars for short, is the part of a vertebra located between the inferior and superior articular processes of the facet joint. [1] [2] In the transverse plane, it lies between the lamina and pedicle. In other words, in the axial view, it is the bony mass between the facets that is anterior to the ...
Cervical fracture. Fracture of C1, including Jefferson fracture; Fracture of C2, including Hangman's fracture; Flexion teardrop fracture – a fracture of the anteroinferior aspect of a cervical vertebra; Clay-shoveler fracture – fracture through the spinous process of a vertebra occurring at any of the lower cervical or upper thoracic vertebrae
The atlas (C1) and axis (C2) are the two topmost vertebrae. The atlas (C1) is the topmost vertebra, and along with the axis forms the joint connecting the skull and spine. It lacks a vertebral body, spinous process, and discs either superior or inferior to it. It is ring-like and consists of an anterior arch, posterior arch, and two lateral masses.
A flexion teardrop fracture is a fracture of the anteroinferior aspect of a cervical vertebral body due to flexion of the spine along with vertical axial compression. [1] The fracture continues sagittally through the vertebral body, and is associated with deformity of the body and subluxation or dislocation of the facet joints at the injured level. [2]