WIDI - CA0887-Cervical Spine Trauma Plain Film Radiograph

Cervical Spine Trauma Plain Film Radiograph

Claim CME Credit

0.5 CME Credit available on completion

POINT OF CARE INFORMATION

This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.

Learning Objectives

As a result of participation in this activity, participants should be able to:

Provide improved patient care.
Greater knowledge of the imaging characteristics of the patient's disease.
Understand a better approach to interpretation of studies.

Faculty Disclosure

Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.

CME Advisory Committee Disclosure:

Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.

Continuing Medical Education Credit

Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CA0887-Cervical Spine Trauma Plain Film Radiograph

History

56 yo female fell off ladder approximately 12 feet.

Exam

Cervical Plain film xray

Prior Study

none available

Findings

Cervical Plain film xray

There is spondylosis with restricted cervical motion beginning at C4 and below. The osteoarthritis reduces the width of the atlanto-axial joint width restricting upper cervical motions.

There is a comminuted spiral fracture of C2 splitting the body of C2 into two halves which are significantly malaligned. The left half of C2 in anteriorly subluxed by 6 mms, while the other half is in expected position. The spinal canal alignment relative to the foramen magnum is close to normal for the nondisplaced C2 body fragment but abnormal for the other. Fractures involve the C2 shoulders and both of the pars intermedia, which likely disrupt the C1-2 facets bilaterally. The fracture complex is considered unstable and the spinal cord is at substantial risk of injury.

There is reversed upper cervical curvature, but there is no focal gibbus deformity.

The C2 body fracture offsets likely affect the foramina transversaria bilaterally putting the vertebral arteries at traumatic risk.

Other

No other abnormalities are present other than cervical trauma.

Impression

1. There is a rotary injury to C2 vertebral body splitting the C2 body into two sections. One section is subluxed anteriorly, while the other remains in expedected position. The fracture complex is considered unstable.