1/21/2024 0 Comments C7 transverse process fractureA coronal oblique view in our case shows accessory articulation of the right transverse processes at C6-C7 as bony extensions separated by a uniform, well-defined gap (A, blue circle). Although the conditional probability of concurrent fracture in studies with multi-level fractures was greatest in contiguous levels, nearly one-third of multi-level fractures involved non-contiguous fractures.Ĭ2 fracture CT cervical spine Cervical spine fractures Non-contiguous fractures. 3-D reconstructions of cervical transverse process accessory articulation versus true fracture. Multi-level traumatic cervical spine fractures constituted 40% of our cohort, most commonly at C6/C7 and C1/C2. Subaxial spine vertebral process fractures outnumbered body fractures with progressive dominance of vertebral process fracture down the spine.Ĭ2 was the most commonly fractured vertebral level. There are many types of cervical spine fracture, some of which are unstable general indicators of instability include 9: increased or reduced intervertebral disc space height. This fracture occurs due to repetitive and forceful pull of the upper back. The most common isolated vertebral process fracture was of the transverse process, seen in 89 (8.2%) studies at a single level, 27 (2.5%) studies at multiple levels. C2 (30) and C7 (20) are the most commonly fractured levels 7. A fracture of the spinous process of C7 and/or T1 is called clay-shovelers fracture. However, 31.3% (136) of studies with multi-level fractures had non-contiguous fractures. The vertebrae are bones in the spine joined by articulations that not only protect the spinal cord but also allow axial loading and support of the limbs. Conditioned on fractures at one cervical level, the probability of fracture was greatest at adjacent levels with a 50% chance of sustaining a C7 fracture with C6 fracture. Created for people with ongoing healthcare needs but benefits everyone. Conclusions: Fractures of the first-rib are associated with serious thoracic and extra-thoracic injuries they are associated only with increased morbidity in. Transverse: Transverse process fractures can cause pain and without any other injury to the bones and ligaments to the spine, they heal on their own. 39.7% of positive studies involved > 1 vertebral level. Orthopedic Spine Surgery 26 years experience. 48.7% of studies had upper cervical spine (C1 and/or C2) fractures. Fractures were classified by vertebral level, laterality, and anatomic location (anterior/posterior arch, body, odontoid, pedicle, facet, lateral mass, lamina, spinous process, transverse foramina, and transverse processes).Ĭ2 was the most commonly fractured vertebra (38% of all studies), followed by C7 (32.4%). We retrospectively reviewed 1091 CTCS positive for traumatic fractures performed over a 10-year period at a level 1 trauma center. Cervical MRI revealed a C7-T1 fracture-dislocation. The purpose of our study was to determine common acute traumatic cervical spine fracture patterns on CT cervical spine (CTCS). Associated injuries were multiple rib fractures and hemopneumothorax.
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