Trauma

Question 1

Unstable C spine fractures

Answer 1

J BOTHA

Jefferson burst C1#
Bifacet joint dislocation
Odontoid # types II and III
Tear drop
Hangman's # (posterior element C2, bilateral pedicle #)
ANY fracture dislocation

Question 2

C spine fractures and radiology: differences in Paeds

Answer 2

upper cspine fractures more common (C2/C3 fulcrum (vs C5/6 in adults))
facet joints more horizontal
incomplete ossification of odontoid process
underdeveloped uncovertebral joints
physiological anterior wedging