Anterior cervical wedge fracture

Background

Unstable if over half of vertebral height lost OR multiple adjacent wedge fractures

Fracture at C6

Clinical Features

Neck pain after trauma
May have cord injury symptoms (complete vs. incomplete)

Differential Diagnosis

Cervical Spine Fracture and Dislocation Types

Evaluation

CT scan to evaluate
MRI may be useful, especially if neuro symptoms, as often associated posterior ligamentous injury

Management

Prehospital Immobilization see NAEMSP National Guidelines for Spinal Immobilization
Keep in C-collar

Disposition

See Also

Cervical spine injuries

External Links

https://www.orthobullets.com/spine/2018/subaxial-cervical-vertebral-body-fractures

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