C1 isolated posterior arch fracture - Revision history

Rossdonaldson1: /* Differential Diagnosis */

2020-10-24T13:17:18Z

Differential Diagnosis

← Older revision		Revision as of 13:17, 24 October 2020
Line 11:		Line 11:

	==Differential Diagnosis==		==Differential Diagnosis==
			{{Blunt neck trauma DDX}}

	==Diagnosis==		==Diagnosis==

Rossdonaldson1 at 13:10, 24 October 2020

2020-10-24T13:10:49Z

← Older revision		Revision as of 13:10, 24 October 2020
Line 4:		Line 4:
	*Also called a Landells Atlas Type I fracture		*Also called a Landells Atlas Type I fracture
	*Rule out [[Jefferson fracture\|burst fracture]]		*Rule out [[Jefferson fracture\|burst fracture]]
	==~~Mechanism~~==
			{{Vertebral fractures and dislocations types}}

			==Clinical Features==
	*Due to forced neck extension		*Due to forced neck extension

	==Differential Diagnosis==		==Differential Diagnosis==
	~~{{Cervical spine injuries}}~~

	==~~Imaging~~==		==Diagnosis==
	*Vertical fracture line through posterior arch seen on lateral x-ray		*Vertical fracture line through posterior arch seen on lateral x-ray
	*CT test of choice to evaluate for associated fractures		*CT test of choice to evaluate for associated fractures

Mholtz at 06:54, 13 July 2017

2017-07-13T06:54:47Z

← Older revision		Revision as of 06:54, 13 July 2017
Line 28:		Line 28:
	*[[C1 isolated anterior arch fracture]]		*[[C1 isolated anterior arch fracture]]
	*[[Jefferson fracture]]		*[[Jefferson fracture]]

	==References==		==References==
			<references/>

	*[http://www.orthobullets.com/spine/2015/atlas-fracture-and-transverse-ligament-injuries Orthobullets]
	[[Category:Trauma]]		[[Category:Trauma]]
	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Rossdonaldson1: /* Imaging */

2017-05-17T05:27:53Z

Imaging

← Older revision		Revision as of 05:27, 17 May 2017
Line 11:		Line 11:

	==Imaging==		==Imaging==
	*Vertical fracture line through posterior arch seen on lateral ~~xray~~		*Vertical fracture line through posterior arch seen on lateral x-ray
	*CT test of choice to ~~eval~~ for associated ~~fx's~~		*CT test of choice to evaluate for associated fractures
	*MRI can evaluate ligamentous injury (transverse ligament is primary AA ~~jxn~~ stabilizer)		*MRI can evaluate ligamentous injury (transverse ligament is primary AA junction stabilizer)

	==Management==		==Management==

Josgood at 16:02, 3 May 2017

2017-05-03T16:02:16Z

← Older revision		Revision as of 16:02, 3 May 2017
Line 30:		Line 30:
	==References==		==References==

	[http://www.orthobullets.com/spine/2015/atlas-fracture-and-transverse-ligament-injuries ~~orthobullets~~]		*[http://www.orthobullets.com/spine/2015/atlas-fracture-and-transverse-ligament-injuries Orthobullets]
	[[Category:Trauma]]		[[Category:Trauma]]
	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Josgood at 15:58, 3 May 2017

2017-05-03T15:58:37Z

← Older revision		Revision as of 15:58, 3 May 2017
Line 3:		Line 3:
	**Anterior arch and transverse ligament are unaffected		**Anterior arch and transverse ligament are unaffected
	*Also called a Landells Atlas Type I fracture		*Also called a Landells Atlas Type I fracture
			*Rule out [[Jefferson fracture\|burst fracture]]
	==~~Clinical Features~~==		==Mechanism==
	*Due to forced neck extension		*Due to forced neck extension

Line 10:		Line 10:
	{{Cervical spine injuries}}		{{Cervical spine injuries}}

	==~~Workup~~==		==Imaging==
	*Must ensure that you are not confusing this with a burst fracture
	**Odontoid view must be normal

	*Vertical fracture line through posterior arch seen on lateral xray		*Vertical fracture line through posterior arch seen on lateral xray
			*CT test of choice to eval for associated fx's
			*MRI can evaluate ligamentous injury (transverse ligament is primary AA jxn stabilizer)

	==Management==		==Management==
			*Hard collar for 6-12 weeks
			**Neurosurgery may prefer Halo immobilization
	*Prehospital Immobilization see [[EBQ:Prehospital Spine Immobilization\|NAEMSP National Guidelines for Spinal Immobilization]]		*Prehospital Immobilization see [[EBQ:Prehospital Spine Immobilization\|NAEMSP National Guidelines for Spinal Immobilization]]


	==Disposition==		==Disposition==
			*Usually discharge (if truly isolated) in consultation with neurosurgery

	==See Also==		==See Also==
	*[[Cervical spine injuries]]		*[[Cervical spine injuries]]
			*[[C-Spine X-Ray]]
			*[[C1 isolated anterior arch fracture]]
			*[[Jefferson fracture]]
			==References==

			[http://www.orthobullets.com/spine/2015/atlas-fracture-and-transverse-ligament-injuries orthobullets]
	[[Category:Trauma]]		[[Category:Trauma]]
	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Josgood: /* Background */

2017-05-03T15:30:00Z

Background

← Older revision		Revision as of 15:30, 3 May 2017
Line 1:		Line 1:
	==Background==		==Background==
	*Stable		*Stable cervical spine fracture
	**Anterior arch and transverse ligament are unaffected		**Anterior arch and transverse ligament are unaffected
			*Also called a Landells Atlas Type I fracture

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: Text replacement - "fx" to "fracture"

2016-07-08T13:52:49Z

Text replacement - "fx" to "fracture"

← Older revision		Revision as of 13:52, 8 July 2016
Line 10:		Line 10:

	==Workup==		==Workup==
	*Must ensure that you are not confusing this with a burst fx		*Must ensure that you are not confusing this with a burst fracture
	**Odontoid view must be normal		**Odontoid view must be normal

Neil.m.young: Text replacement - "fx " to "fracture "

2016-07-03T06:07:58Z

Text replacement - "fx " to "fracture "

← Older revision		Revision as of 06:07, 3 July 2016
Line 13:		Line 13:
	**Odontoid view must be normal		**Odontoid view must be normal

	*Vertical fx line through posterior arch seen on lateral xray		*Vertical fracture line through posterior arch seen on lateral xray

	==Management==		==Management==

Ostermayer: Text replacement - "Category:Ortho" to "Category:Orthopedics"

2016-03-22T15:48:42Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"

← Older revision		Revision as of 15:48, 22 March 2016
Line 25:		Line 25:

	[[Category:Trauma]]		[[Category:Trauma]]
	[[Category:~~Ortho~~]]		[[Category:Orthopedics]]