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A compression fracture is a collapse of a vertebra. It may be due to trauma or due to a weakening of the vertebra (compare with burst fracture ). This weakening is seen in patients with osteoporosis or osteogenesis imperfecta , lytic lesions from metastatic or primary tumors , [ 1 ] or infection. [ 2 ]
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]
Spinal cord compression is a form of myelopathy in which the spinal cord is compressed. Causes can be bone fragments from a vertebral fracture, a tumor , abscess , ruptured intervertebral disc or other lesion.
Cervical fractures may also be seen in some non-contact sports, such as gymnastics, skiing, diving, surfing, powerlifting, equestrianism, mountain biking, and motor racing. Certain penetrating neck injuries can also cause cervical fracture which can also cause internal bleeding among other complications.
A flexion-distraction fracture of T10 and fracture of T9 due to a seatbelt during an MVC. On plain X-ray, a Chance fracture may be suspected if two spinous processes are excessively far apart. [10] A CT scan of the chest, abdomen, and pelvis is recommended as part of the diagnostic work-up to detect any potential abdominal injuries.
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
Physical examination, medical imaging (CT and X-rays) Differential diagnosis: Vascular claudication, trochanteric bursitis, piriformis syndrome, muscle pain, vertebral compression fracture, compartment syndrome, peripheral neuropathy, lumbar radicular syndrome (lumbar radiculopathy) and pain in other spinal structures: hip, myofascia ...
In a study based in Norway, 60% of reported cervical fractures came from falls and 21% from motor-related accidents. [3] According to the Agency for Healthcare Research and Quality (AHRQ), the group under the highest risk of C2 fractures are elderly people within the age group of 65–84 (39.02%) at risks of falls (61%) or motor accidents (21% ...