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Combined Jefferson and Hangman's fractures
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MedPix Image - MedPix Case
Affiliation: Walter Reed National Military Medical Center
ABSTRACT
Diagnosis: Combined Jefferson and Hangman's fractures History: 73 year old woman who fell down stairs and has neck pain. Findings: • C1 - Jefferson burst fracture of C1 with comminution of the mid anterior ring and comminution of the left posterolateral ring. • C2 - Predominately coronally-oriented fracture of the posterior C2 body with an additional left parasagittal C2 body fracture component. This fracture extends into the left foramen transversalis. There is also a minimally displaced right occipital condyle fracture and an extension tear-drop fracture located at the anterior inferior margin of the C2 vertebral body. Ddx: • Jefferson Fracture: Congenital variants, malformations Rotational malalignment of Atlas/Axis pillars Pseudospread of Atlas (in children) • Hangman’s Fracture: Pseudosubluxation Rotatory subluxation of C2-C3 Primary spondylosis Dxhow: Characteristic imaging findings. Exam: Generalized neck pain without focal tenderness. No MeSH data available. |
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MPX1306_synpic51670: Comminuted fracture of the anterior ring of C1. |
View Article: MedPix Image - MedPix Case
Affiliation: Walter Reed National Military Medical Center
Diagnosis: Combined Jefferson and Hangman's fractures
History: 73 year old woman who fell down stairs and has neck pain.
Findings: • C1 - Jefferson burst fracture of C1 with comminution of the mid anterior ring and comminution of the left posterolateral ring. • C2 - Predominately coronally-oriented fracture of the posterior C2 body with an additional left parasagittal C2 body fracture component. This fracture extends into the left foramen transversalis. There is also a minimally displaced right occipital condyle fracture and an extension tear-drop fracture located at the anterior inferior margin of the C2 vertebral body.
Ddx: • Jefferson Fracture: Congenital variants, malformations Rotational malalignment of Atlas/Axis pillars Pseudospread of Atlas (in children) • Hangman’s Fracture: Pseudosubluxation Rotatory subluxation of C2-C3 Primary spondylosis
Dxhow: Characteristic imaging findings.
Exam: Generalized neck pain without focal tenderness.
No MeSH data available.
