Jefferson Fracture - Everything You Need To Know - Dr. Nabil Ebraheim
Dr. Ebraheim’s educational animated video describes fractures types of the C1 cervical spine vertebrae, also called: Jefferson Fracture.
50% of patients will have associated spine injuries. The canal is wide with low risk of spinal cord injury unless the transverse ligament is disrupted. Difficult visualization on x-ray (usually see on the lateral side).
The junctional fracture could be missed.
The classic Jefferson fracture is a burst fracture that results from axial load. It could be a four-part fracture with bilateral fracture of the anterior and posterior arch.
There are variations which include two and three-part fractures. Incomplete formation of the posterior arch can be mistaken as a fracture.
Anatomy
C1 and C2 are stabilized together by the transverse ligament. C1 and C2 provide 50% of rotation of the neck. At the upper cervical region, the spinal canal is 2.5 times larger than the cord size. The stability and treatment of Jefferson fractures depend on the integrity of the tr
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