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Cervical Burst Fracture
Kevin R. Moore, MD; Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Comminuted fracture of cervical vertebral body
                • Vertical axial loading compression fracture

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Angiographic Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. Lekic N et al: Why you should wear your seatbelt on an airplane: burst fracture of the atlas (jefferson fracture) due to in-flight turbulence. J Orthop. 17:78-82, 2020
                                      2. Narayana Kurup JK et al: Catastrophic cervical spinal injury in an amateur college wrestler. BMJ Case Rep. 2017, 2017
                                      3. Schleicher P et al: [Subaxial cervical spine injuries: treatment recommendations of the German orthopedic and trauma society.] Z Orthop Unfall. 155(5):556-66, 2017
                                      4. Munera F et al: Imaging evaluation of adult spinal injuries: emphasis on multidetector CT in cervical spine trauma. Radiology. 263(3):645-60, 2012
                                      5. Nakashima H et al: Mechanical patterns of cervical injury influence postoperative neurological outcome: a verification of the allen system. Spine (Phila Pa 1976). 36(6):E441-6, 2011
                                      6. Dvorak MF et al: The surgical approach to subaxial cervical spine injuries: an evidence-based algorithm based on the SLIC classification system. Spine (Phila Pa 1976). 32(23):2620-9, 2007
                                      7. Fisher CG et al: Comparison of outcomes for unstable lower cervical flexion teardrop fractures managed with halo thoracic vest versus anterior corpectomy and plating. Spine. 27(2):160-6, 2002
                                      8. Kiwerski JE: Early anterior decompression and fusion for crush fractures of cervical vertebrae. Int Orthop. 17(3):166-8, 1993
                                      9. Schweighofer F et al: Complications after an unusual procedure in the treatment of a cervical spine burst fracture. A case report. Langenbecks Arch Chir. 377(4):235-6, 1992
                                      10. Ripa DR et al: Series of ninety-two traumatic cervical spine injuries stabilized with anterior ASIF plate fusion technique. Spine. 16(3 Suppl):S46-55, 1991
                                      11. Cabanela ME et al: Anterior plate stabilization for bursting teardrop fractures of the cervical spine. Spine. 13(8):888-91, 1988
                                      12. Mazur JM et al: Unrecognized spinal instability associated with seemingly "simple" cervical compression fractures. Spine. 8(7):687-92, 1983
                                      13. Johnson JL et al: Nonoperative treatment of the acute tear-drop fracture of the cervical spine. Clin Orthop. (168):108-12, 1982
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Definitions

                                                    • Comminuted fracture of cervical vertebral body
                                                    • Vertical axial loading compression fracture

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Angiographic Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          Selected References

                                                                          1. Lekic N et al: Why you should wear your seatbelt on an airplane: burst fracture of the atlas (jefferson fracture) due to in-flight turbulence. J Orthop. 17:78-82, 2020
                                                                          2. Narayana Kurup JK et al: Catastrophic cervical spinal injury in an amateur college wrestler. BMJ Case Rep. 2017, 2017
                                                                          3. Schleicher P et al: [Subaxial cervical spine injuries: treatment recommendations of the German orthopedic and trauma society.] Z Orthop Unfall. 155(5):556-66, 2017
                                                                          4. Munera F et al: Imaging evaluation of adult spinal injuries: emphasis on multidetector CT in cervical spine trauma. Radiology. 263(3):645-60, 2012
                                                                          5. Nakashima H et al: Mechanical patterns of cervical injury influence postoperative neurological outcome: a verification of the allen system. Spine (Phila Pa 1976). 36(6):E441-6, 2011
                                                                          6. Dvorak MF et al: The surgical approach to subaxial cervical spine injuries: an evidence-based algorithm based on the SLIC classification system. Spine (Phila Pa 1976). 32(23):2620-9, 2007
                                                                          7. Fisher CG et al: Comparison of outcomes for unstable lower cervical flexion teardrop fractures managed with halo thoracic vest versus anterior corpectomy and plating. Spine. 27(2):160-6, 2002
                                                                          8. Kiwerski JE: Early anterior decompression and fusion for crush fractures of cervical vertebrae. Int Orthop. 17(3):166-8, 1993
                                                                          9. Schweighofer F et al: Complications after an unusual procedure in the treatment of a cervical spine burst fracture. A case report. Langenbecks Arch Chir. 377(4):235-6, 1992
                                                                          10. Ripa DR et al: Series of ninety-two traumatic cervical spine injuries stabilized with anterior ASIF plate fusion technique. Spine. 16(3 Suppl):S46-55, 1991
                                                                          11. Cabanela ME et al: Anterior plate stabilization for bursting teardrop fractures of the cervical spine. Spine. 13(8):888-91, 1988
                                                                          12. Mazur JM et al: Unrecognized spinal instability associated with seemingly "simple" cervical compression fractures. Spine. 8(7):687-92, 1983
                                                                          13. Johnson JL et al: Nonoperative treatment of the acute tear-drop fracture of the cervical spine. Clin Orthop. (168):108-12, 1982