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Case of the Week 515


What is the most likely diagnosis?

  • 53 year-old in motor vehicle collision



Lateral Radiograph of Cervical Spine

  1. Degenerative Disk Disease
  2. Hangman's Fracture
  3. Clay Shoveler's Fracture
  4. Extension Teardrop Fracture
  5. Flexion Teardrop Fracture

Additional Images-None

 

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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

    MORE . . .

     


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