Cervical Spine Fractures

by **AZS** Mon 09 Apr 2007, 10:50 pm

The human spine comprises 24 vertebrae, or small bones containing the spinal cord. These vertebrae are grouped into three sections according to location: cervical spine (neck), thoracic spine (middle back), and lumbar spine (lower back). Soft tissues, such as ligaments (tissues that connect bones), muscles, and skin, surround and support the spine. Seven vertebrae form the cervical spine. This section of the spine connects the base of the head to the thorax (trunk and shoulders) and, with the help of soft tissues, supports the head. A fracture (break) of the cervical spine is commonly referred to as a broken neck.

Most injuries that involve the neck or cervical spine are the result of a violent collision that compresses the cervical spine against the shoulders. Cervical Spine Fractures Xray

This force can be so great that a vertebra fractures or even bursts into small fragments (Fig. 2, normal C-spine; Fig. 3, fractured C5). For example, striking your head against the bottom of a pool in shallow water or �spear�" tackling using the crown of your helmet to stop an opposing football player can fracture the cervical spine (Fig. 4). Cervical Spine Fractures Spear

Cervical spine injuries may also occur during motor vehicle accidents when the head is violently jerked either backwards or forwards. This type of accident may not cause a fracture but instead injure the muscles and ligaments of the neck. The resulting injury is a neck sprain, which is commonly called whiplash.

Regardless of the cause, cervical spine fractures are serious injuries; they may involve spinal cord damage that can result in partial or complete paralysis or even death.
If you suspect that someone has a neck injury, immediately contact emergency medical services. Do not move the person yourself - no matter how uncomfortable they look. Emergency medical technicians are trained in the proper treatment of people who have neck injuries. If you move a person who has a cervical spine fracture, you risk further injuring that person.
The surgeon will x-ray the injured person's spine to find out if the cervical spine is fractured. To treat the fractured spine, the surgeon first reduces it through traction. This process involves inserting tongs into the skull, attaching a pulley to the tongs, and attaching small weights to the other end of the pulley. The weights pull the head away from the shoulders just enough to enable the soft tissues around the spine to push the fractured bone back into place. After the fracture is reduced, the surgeon examines the spinal cord for damage. Because the spinal cord is soft tissue, it cannot be seen on an x-ray. Therefore, the surgeon injects a dye into the damaged area that coats the spinal cord and other soft tissues so they can be seen on an x-ray.
Most cervical spine fractures must be treated surgically. The surgeon chooses the treatment method based on the severity of the fracture. For example, the fractured vertebra may be fused to the healthy vertebra next to it, or it may be removed and replaced with a bone graft that is fused to the vertebrae on either side.
Cervical spine fractures and other neck injuries occur less frequently because people are more educated about how fractures occur and about how to prevent them. Protect yourself and your family by always wearing a seatbelt, supervising children and adolescents who are swimming and diving in lakes and pools, and using the proper equipment and training during athletic participation. If a significant neck injury does occur, be sure to contact your local emergency medical services for help.
Larry Parker, M.D.
Hattiesburg, Mississippi

by riwa Sat 14 Apr 2007, 12:42 am

HI AZIE KALAU DOKTOR MINTA CERVICAL X RAY LATERAL IN FLEXION AND EXTENSION DIA NAK TGK APE YE

by **msaa** Sat 14 Apr 2007, 12:59 am

masa kawe trainee dulu dr kawe minta CERVICAL X RAY IN EXTENSION mouth opening projection.....anybody exp. that!!! Very Happy

by **budak Itam** Wed 19 Sep 2007, 10:35 am

tingat la plak ms mula2 onkol dulu, ada doktor mntk cervical spine sbb nk tgk # C8. hmm???

by aresun Wed 24 Oct 2007, 1:14 pm

CERVICAL X RAY IN EXTENSION mouth opening projection

open-mouth
odontoid view x-ray tells about the integrity of the atlas arch
and transverse ligament.

Cervical Spine Fractures Opmoodview1

tapi kalau pt trauma tak digalakkan buat ext flex cervical...

by **AZS** Wed 24 Oct 2007, 3:27 pm

budak Itam wrote:tingat la plak ms mula2 onkol dulu, ada doktor mntk cervical spine sbb nk tgk # C8. hmm???

C8???tang mana tuh?hehehhehehe...

kat sini plak ramai taktau mengeja...

humerus - humorous scratch

Judet's view - Judjack view gelak sakan

by **budak Itam** Tue 30 Oct 2007, 10:25 am

tu yg mslah tuh... biler kite habaq baik2 kt dia yg c-spine smp 7 sj, dia tarik muka taknak dengar

teruih... apalah nasib. tegur salah, x tegur pn salah..

by **AZS** Tue 30 Oct 2007, 10:23 pm

tu salah sorang yg takleh terima teguran org lain lah kalo camtu...hehehhe...

by **budak Itam** Wed 31 Oct 2007, 10:24 am

suke azie nyer topik.. bagus utk general acknowledge study

. saya ada bbrp gambar Wink

yg nk dikongsi, tp xtau nk attach camner. bole bg tunjuk ajar Basketball

??

by **Deuce** Thu 21 Feb 2008, 12:11 pm

by **Deuce** Thu 21 Feb 2008, 12:13 pm

Figure: excluding cervical spine injury.

Common Types of Cervical Spine Injuries
Spine level	Fracture name	Stable or unstable	Mechanism/clinical setting	Radiologic findings
C1	Jefferson fracture	Moderately unstable	Burst fracture; occurs with axial load or vertebral compression	Displaced lateral aspects of C1 on odontoid view, predental space more than 3 mm
C1	Atlantoaxial subluxation	Highly unstable	Occurs in patients with Down syndrome, rheumatoid arthritisand other destructive processes	Asymmetric lateral bodies on odontoid view, increased predental space
C2	Odontoid fracture	Highly unstable	Mechanism poorly understood	May be difficult to see on plain films; high clinical suspicion requires CT scanning
C2	Hangman's fracture	Unstable	Occurs with sudden deceleration (hanging) and with hyperextension, as in motor vehicle accidents	Bilateral pedicle fracture of C2 with or without anterior subluxation; lateral view required
Any level	Flexion teardrop injury	Highly unstable	Sudden and forceful flexion	Large wedge off the anterior aspect of affected vertebra; ligamentous instability causes alignment abnormalities
	Bilateral facet dislocations	Highly unstable	Flexion or combined flexion/rotation	Anterior displacement of 50% or more of one cervical vertebra on lateral views
	Unilateral facet dislocations	Unstable	Flexion or combined flexion/rotation	Anterior dislocation of 25 to 33% of one cervical vertebra on lateral views; an abrupt transition in rotation so that lateral view of affected vertebra is rotated; lateral displacement of spinous process on anteroposterior view
Lower cervical or upper thoracic	Clay shoveler's fracture	Very stable	Flexion, such as when picking up and throwing heavy loads (such as snow or clay)	Avulsion of posterior aspect of spinous process; frequently an incidental finding

Read more here:
http://www.aafp.org/afp/990115ap/331.html

by **budak Itam** Fri 22 Feb 2008, 3:57 pm

nk tau

, kalu to rule out internal bleeding kepala bole nmpk x dlm plain x-ray? kurios sket sbb xde saper nk d refer kt tmpt aku ni, district...

by Sponsored content

Cervical Spine Fractures

Cervical Spine Fractures

Re: Cervical Spine Fractures

Re: Cervical Spine Fractures

Re: Cervical Spine Fractures

Re: Cervical Spine Fractures

Re: Cervical Spine Fractures

Re: Cervical Spine Fractures

Re: Cervical Spine Fractures

Re: Cervical Spine Fractures

Re: Cervical Spine Fractures

Re: Cervical Spine Fractures

Re: Cervical Spine Fractures

Re: Cervical Spine Fractures