SURGERY RESIDENT BLOG

And review books to boot!

What is the treatment for cervical spine fractures?

QUESTION: What is the treatment for cervical spine fractures?

ANSWER:
C-1 burst fracture (Jefferson fracture) – caused by axial loading. Treatment is rigid collar

C-2 hangman’s fracture – caused by distraction and extension. Treatment is traction and halo

C-2 odontoid fracture
– Type I – above base, stable
– Type II – at base, unstable (will need fusion or halo)
– Type III – extends into vertebral body (will need fusion or halo)

Facet fractures or dislocations – can cause cord injury; usually associated with hyperextension and rotation and with ligamentous disruption

Source: The Absite Review

NEXT QUESTION: What is the difference between the internal and external anal sphincters?

Source: The Absite Review, p.223

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