Cervical Neck Fractures

Cervical Neck Fractures

Cervical Neck Fractures

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CT Scan of Cervical Neck Fractures:  Facet fracture and fragment in Foramen Transversalis

 

Cervical Neck Fractures are a common presentation associated with severe neck pain after trauma.

Unfortunately,  cervical neck fractures commonly present after sports or recreational activities.  Common causes include diving accidents,  football collisions,  and racing activities.  Because of the activities involve, the cervical neck fractures occur in a younger and more active population.

Sometimes the presentation is obvious,  as there is significant pain, with corresponding arm radiations and pain.  In the more severe cases,  unfortunately,  there may be a spinal cord injury, with long term disability ramifications.

But, in many cases of cervical neck fractures,  often the only presentation is pain.  In the CT scan above,  the patient was involved in a bike accident,  but the only complaint was neck pain.  There was no presentation of arm weakness or numbness.  But,  the history is one of a fall off a bicycle landing on the neck with immediate pain.  The patient actually walked into the Emergency Room.  But,  because of the history of trauma, an x-ray raised suspicion of a cervical neck fractures.  The CT scan confirmed the diagnosis.

If you have severe neck pain after a traumatic event such as a fall, a motor vehicle accident, or forced twisting maneuver,  please  discuss the complaint immediately with a physician.  If the suspicion is there, further testing, initially with x-rays may be warranted.  If there is no evidence of a fracture,  but the suspicion is still strong,  often times, a physician will consider further testing such as flexion extension x-rays, or CT scans to the neck.  In regards to neck fractures,  CT scan often demonstrate the fracture better than other tests such as MRI’s.

In our senior population,  unfortunately cervical neck fractures are also a concern.  Because our older population have a high rate of osteoporosis,  the cervical spine is prone to fractures.  Because of the frailty of the bone,  any complaints of neck pain,  even with trivial trauma, should be evaluated for potential cervical neck fractures.

While many cervical neck fractures can be treated non-surgically with a collar,  if you have a break,  you need to be evaluated by a physician who can determine whether the break can heal without sequela,  or if it should be stabilized to prevent a more significant event such as paralysis, or chronic pain.

Citations

  • Scholz M, Kandziora F, Hildebrand F, Kobbe P. [Injuries of the upper cervical spine : Update on diagnostics and management]. Unfallchirurg. 2017 Aug 3; PubMed PMID: 28776221

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Author and Contributor to www.Spine-Health.com – July, 2015

www.Spine-Health.com/author/john-h-shim-md-facs

Chief of Surgery, Mease Countryside and Mease Dunedin Hospitals, Safety Harbor and Dunedin, Florida. 2014-2016.

Orthopaedic Section Chief Mease Countryside Hospital; Safety Harbor, Florida Mease Dunedin Hospital; Dunedin, Florida.2008-2013

Board Member Morton Plant Mease Research Council

Co-Director of Mease Neuro-Ortho Spine Center Mease Dunedin Hospital; Dunedin, Florida.

One of “6 Spine Physicians Ranked #1 on Google” – December 2016

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2016 Spine Surgeons to Know list – January 2016

2014 Spine Specialists to know list – September 2014

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The Best Orthopedics in Tampa

The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.
Outpatient Spine Surgery Considerations. www.Spine-Health.com. January 2016.

What is Spinal Stenosis? www.Spine-Health.com. October 2015.

Surgeon insights on the Changing Landscape of Orthopedic Care. OrthopedicToday. June 2014

Chapter 33: Interspinous Spacers. Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

Chapter 35: Minimally Invasive Percutaneous Lumbar Fusion Technique.Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

March 2010 Minimally Invasive Transforaminal Lumbar Interbody Fusion American Academy of Orthopaedic Surgeons Annual Meeting New Orleans, Louisiana February 2010

February 2010 A Review of Dynamic Stabilization in the Lumbar Spine Selby Spine Symposium; Park City, Utah

November 2009 Lumbar Spinal Stenosis Community Based Lecture; Tampa, Florida

September 2009 Instructor/Proctor Minimally Invasive Lumbar Cadaver Lab; Tampa, Florida

February 2009 New Spinal Technology: Cervical Disc Replacement and Interspinous Spacers. Selby Spine Symposium; Park City, Utah

February 2008 The Degenerative Spine: The Role of Dynamic Lumbar Stablization and Interspinous Spacers Selby Spine Symposium; Park City, Utah

October 2008 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

September 2007 Emerging Technology in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

October 2006 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

May 2005 The Role of Kyphoplasty in the Treatment of Vertebral Compression Fractures Mease Neurosciences Symposium; Clearwater, Florida
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