Cervical Spine Trauma - Everything You Need To Know - Dr. Nabil Ebraheim
Dr. Ebraheim’s educational animated illustrates spine concepts associated the cervical spine - trauma.
Transverse ligament:
- It provides the C1-C2 stability
- It is behind the odontoid and it anchors the odontoid to the ring of C1 so it prevents an abnormal movement between C1 and C2.
- . in adults is 3.5 mm.
- Of the transverse ligament is injured, C1 and C2 will be free to move & there will be an increase in the .
- Isolated traumatic injury to the transverse ligament is probably rare.
- Jefferson fracture
Three types:
- Type II: fracture at the base of the odontoid process, most common, troublesome fracture.
- Nonunion rate is 20-80% due to interruption of the blood supply.
- High nonunion rate in:
- More than 5 mm of displacement.
- Patients older than 50 years of age.
- Other risk factors:
- Delay in treatment
- Posterior displacement of the fracture
- Diabetes
- Do not use halo in early patients, risk of death from pneumonia
-
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