What is the most likely diagnosis?
- 53 year-old in motor vehicle collision
Lateral Radiograph of Cervical Spine
- Degenerative Disk Disease
- Hangman's Fracture
- Clay Shoveler's Fracture
- Extension Teardrop Fracture
- Flexion Teardrop Fracture
Additional Images-None
Additional Images
None
Answer:
4. Extension Teardrop Fracture
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Extension Teardrop Fracture
General Considerations
- Fracture of the cervical spine caused by the sudden pull of the anterior longitudinal ligament on the anterior, inferior aspect of the vertebral body following extreme hyperextension of the neck
- Usually involves C2
- Anterior longitudinal ligament inserts on anteroinferior aspect of C2
- Fracture of C2 is stable in flexion and unstable in hyperextension