Extension cervical teardrop fracture

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 Fracture and Dislocation Types

Workup

Management

Prehospital Immobilization

See NAEMSP National Guidelines for Spinal Immobilization

Hospital

C-collar
Consult ortho or spine as needed

Disposition

Admit

See Also

Cervical spine injuries

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