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Xray Q 7
C-Spine Trauma
14
Health Care
Professional
08/18/2012

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Cards

Term
Occipital condyles are dislocated off the atlas, injury is usually fatal
Definition
Atlanto-Occipital Dislocation
Term
This fracture is a bursting fracture of the Atlas ring with fractures through the anterior and posterior arches. The mechanism of injury is due to compressive forces on the vertex of the skull that are transmitted through the occipital condyles (diving into shallow water).
Definition
Jefferson's Fracture
Term
This is the most common fracture of the atlas and accounts for 50% of all Atlas fractures. This fracture is typically a bilateral vertical fracture through the neural arch. The mechanism of injury is the result of the posterior arch of atlas being compressed between the occiput and the posterior arch of axis during severe hyperextension
Definition
Neural Arch Fracture
Term
Bilateral disruption through the pedicles of the axis best seen on the lateral view just anterior to the inferior facet and usually in association with anterior displacement of C2 on C3. Prevertebral hemorrhage is common, so the retropharyngeal interspace will be increased. An avulsion fracture of the anteroinferior corner of the vertebral body often can be seen.
Definition
Hangman's Fracture
Term
an avulsion of the odontoid tip.
Definition
Odontoid Fracture type I
Term
This fracture is caused by a vertical compressive for to the vertex of the skull. In this fracture nucleus pulpose is propelled through the endplate of the vertebral body, and vertebra is fractured vertically causing a comminution of the vertebral body.
Definition
Burst Fracture
Term
a. Is when a triangular-shaped piece of bone is separated from the anteroinferior corner of a vertebral body, due to hyperflexion
Definition
Flexion Teardrop Fracture
Term
Is when a triangular-shaped piece of bone is separated from the anteroinferior corner of a vertebral body, due to hyperextension
Definition
Extension Teardrop Fracture
Term
“jumped facet”. the lateral view displays forward displacement of the vertebral body. The combination of the anteriorly displaced articular pillar with its former opposing pillar produces the BOW TIE SIGN. Frontal radiographs display upward rotation of the spinous process of the dislocated segment.
Definition
Unilateral Facet Dislocation
Term
The superior facets are seen to lie fully anterior to the inferior facets and appear to be locked, body of the dislocated segment is usually displaced anteriorly a distance greater than one half the AP diameter of the body below. Chip fractures from the tip of the articulating processes are often found with this condition
Definition
Bilateral Facet Dislocation
Term
avulsive injury to the spinous process, with the distal portion of the spinous process often being displaced caudally. The frontal view often depicts a double spinous sign on a single vertebra.
Definition
Clay Shoveler's Fracture
Term
Acceleration/Deceleration injury, Finding: Widened retropharyngeal space, widened retrotracheal space, displaced prevertebral fat stripe, tracheal deviation, loss of lordosis, acute kyphotic angulation, widened interspinous space, Vacuum phenomenon widening of z-joint
Definition
Whiplash
Term
fracture at the junction of the odontoid process and the body of C2 (Most common)
Definition
Odontoid Fracture type II
Term
a fracture found deep within the vertebral body below the base of the odontoid process
Definition
Odontoid Fracture type IIII
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