Cervical spine fractures and dislocations
This page is for adult patients. For pediatric patients, see: cervical injury (peds)
Background
Sensation of cervical nerve roots
Three column concept of spinal fracture stability
Clinical Features
C-spine injuries may present with
- Rarely neurogenic shock (bradycardia, hypotension)
- Posterior neck pain
- Pain on palpation of spinous processes
- Limited neck ROM with pain
- Weakness, numbness, or paresthesias
Differential Diagnosis
Evaluation
- See blunt neck trauma for general workup
Management
- Prehospital
- Hospital
- See page for specific fracture
- Cervical spine clearance
Disposition
See Also
- Cervical spine clearance
- C-Spine (EAST)
- Penetrating neck trauma
- Spinal Cord Trauma
- Spinal Cord Compression (Non-Traumatic)
- Neurogenic Shock
- Unstable spine fractures‎
- Vertebral fractures
- Cervical injury (peds)
See Also
References
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