CT of neck fractures

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Author: Mikael Häggström [notes 1]

Planning

Indications

Mainly neck trauma. See CT of the neck in trauma.

Detection

See CT of the neck in trauma.

Emergent evaluation

If one or more fractures are found on a neck CT, there are multiple classification systems and fracture names. If unsure about the formal classification of the fracture at hand, initially just inform the clinician that there is a fracture, and where:

Relevant anatomic regions of cervical vertebrae.

The patient can then remain immobilized, offering time to perform further evaluation to help clinicians in deciding about surgical or non-surgical management.

Classification

The AO Foundation has developed a descriptive system for cervical fractures, the AOSpine subaxial cervical spine fracture classification system.[1]

The indication to surgically stabilize a cervical fracture can be estimated from the Subaxial Injury Classification (SLIC).[2]

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.

References

  1. . Classification. AO Foundation. Retrieved on 2019-05-08.
  2. Page 94 and Page 126 in: Douglas L. Brockmeyer, Andrew T. Dailey (2016). Adult and Pediatric Spine Trauma, An Issue of Neurosurgery Clinics of North America . 28. Elsevier Health Sciences. ISBN 9780323482844.