We need you! Join our contributor community and become a WikEM editor through our open and transparent promotion process.
Extension cervical teardrop fracture
From WikEM
Contents
Background
- Is an unstable spine injury
Clinical Features
- Abrupt neck extension > anterior longitudinal ligament avulses anteroinferior corner
- Avulsed fragment is greater in height than width (contrast with flexion cervical teardrop fracture)
- Often occurs at C5-C7 associated with diving accidents
- Associated with central cord syndrome
Differential Diagnosis
Cervical Spine Fractures and Dislocations
- Atlanto-occipital dissociation
- C1
- C2
- C3-C7
- Cervical burst fracture
- Cervical spinous process fracture
- Extension cervical teardrop fracture
- Flexion cervical teardrop fracture
- Anterior cervical wedge fracture
- Cervical facet dislocation
Workup
Management
Prehospital Immobilization
See NAEMSP National Guidelines for Spinal Immobilization
Hospital
- C-collar
- Consult ortho or spine as needed
Disposition
- Admit
