Presentation
High-speed car accident with collapse and lost consciousness.
Patient Data
Age: 25 years
Gender: Male
From the case:
Cervical spine fracture with dislocation and locked facets
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Post-traumatic RTA showing multiple unstable fractures as follow:
- Fracture dislocation of C7/T1 with bilateral facetal dislocation (jumped facets) as well as marked anterolithesis (more than 75 %) with mostly evident cord injury for MRI assessment
- C6 and C7 spinous processes avulsion fracture (clay shoveler fractures) with gapping and displacement.
- C6 left, C7 bilateral, and T1 left transverse processes fractures.
- T1 anterosuperior margin fracture (teardrop fracture)
- Upper ribs fracture mainly at left side.
- C7 para and pre-vertebral mild soft tissue thickening/hematoma.
- Accidentally seen, left pneumothorax, pleural collection, and left upper lung lobe posterior segment consolidative patches at the limited visualized upper lung cuts.
- ETT is also noted.
Case Discussion
Unstable C7-T1 fracture-dislocation with locked facets associated with three columns injuries and possible cord injury.
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