Cervical Spine Trauma CT
Claim CME CreditPOINT 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.
CA0888-Cervical Spine Trauma CT
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CA0888-Cervical Spine Trauma CT
Case ReportExam
Prior Study
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.
Findings
Cervical spine CT
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. The condylar-C1 facet spaces are normal. The C1-2 articular spaces are fractured and the capsules likely torn.
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 and rotated leaving the broken pars intermedia projecting into the spinal canal. Fractures involve the C2 shoulders, both of the pars intermedia which disrupting the C1-2 facets bilaterally. The dens position and the atlanto-axial joint remain normal. The fracture complex is completely unstable and the spinal cord is at substantial risk of injury.
There is a comminuted C3 superior end-plate compression fracture without loss of vertebral body height, nor is there offset of the fragments.
Both foramina transversaria are fractured; both vertebral arteries are at risk of injury.
Other
No other abnormalities are present other than cervical trauma.
Impression
2. There is a nondisplaced superior end-plate C3 compression fracture (likely an axial loading injury).
Recommendations
No recommendation
