Test I Types of Fractures Flashcards
(69 cards)
This is the MC atlas fracture
Posterior Arch fracture
What are the reasons the C1 spinolaminar line can be too far anterior
- Posterior Arch Fracture
- TAL rupture
- Dens fracture
What film can confirm a posterior arch fracture
flexion/extension
A posterior arch fracture can also cause
an increased anterior tubercle
Is a posterior arch fracture usually bilateral and vertical
Yes
This fracture can be seen on film by noticing bilateral lateral mass offset
Jefferson’s Fractures
This is a fracture of both the anterior and posteriro arches of C1
Jefferson’s Fracture
If a Jefferson’s fracture is combined with this, it can become unstable and compress the brain stem and can cause brain damage
torn Transverse ligament of >7mm
ADI range for adults
ADI range for kids
This is the best film to see an increased ADI
Flexion
Steele’s Rule Of Thirds
Divide the atlas into thirds 1/3 cord 1/3 dens 1/3 potential space Anterior displacement may be asymptomatic
This is 40-50% of all axis fractures
Odontoid Fractures
This type of odontoid fracture is oblique and through the tip
Type I
Rare/Stable
This type of odontoid fracture is at the base of the odontoid
Type II
unstable
This type of odontoid fracture is in the body of the C2
Type III
unstable/stable
These odontoid fractures both heal well
Type I and II
This odontoid fracture causes a disruption of Harris’ ring
Type III
The ligament that can be involved with a Type I odontoid fracture
Alar ligament
Most old os odontoideum are old
un-unitd dens fractures
This fracture can cause a “fat C2 body”
Type III odontoid fracture
Type III odontoid fracture is best seen on this film
Lateral
This is a bilateral pedicle fracture of C2
Hagman’s fracture
Hagman’s fracture usually occurs from this mechanism
Hyperextension