Jefferson Fracture Management //

However, because the Jefferson fracture constitute the most frequent form of the Atlas fractures, and also they pose much more clinical problem than those of the single lateral mass or lamina fractures, the term of Jefferson fracture is frequently used for all Atlas fractures. The same approach will be applied throughout the current text. views.2 Jefferson fractures with torn transverse ligaments are inherently unstable at the C1-C2 joint and are referred to as unstable Jefferson fractures. Although there is a general agreement on the treatment of stable Jefferson fractures, the management of unstable Jefferson fractures remains controversial. Non-union of stable Jefferson. 19/10/2017 · A Jefferson fracture is another name for a bone fracture of the front and back arches of the C1 vertebra. The C1 vertebra is the top one, closest to your skull. C1 fractures represent about 2 percent of all vertebral fractures, according to a 2013 review. Vertebral fractures are the most common fractures related to osteoporosis.

The next step in fracture management is the reduction of the fracture and its maintenance. It is important to ensure that the involved part of the body returns to its function after the fracture heals. To achieve this, maintenance of fracture reduction with immobilization technique is done by either non-operative or surgical methods. 31/10/2017 · Dr. Ebraheim’s educational animated video describes fractures types of the C1 cervical spine vertebrae, also called: Jefferson Fracture. 50% of patients will have associated spine injuries. The canal is wide with low risk of.

24/04/2019 · The best sleeping position for back pain, neck pain, and sciatica - Tips from a physical therapist - Duration: 12:15. Tone and Tighten 1,230,700 views. 23/07/2016 · ↑ Jefferson, G. 1919 ‘Fracture of the atlas vertebra. Report of four cases, and a review of those previously recorded’, British Journal of Surgery, 727, pp. 407–422. ↑ Muratsu H, Doita M, Yanagi T et-al. Cerebellar infarction resulting from vertebral artery occlusion associated with a Jefferson fracture. Jefferson fractures typically occur as a result of axial loading of the head. They can be treated conservatively provided the transverse atlantal ligament is intact, and as such careful examination of the atlantodens interval and presence of an avulsion fracture is critical.

Jefferson fracture is often caused by an impact or load on the back of the head, and are frequently associated with diving into shallow water, impact against the roof of a vehicle and falls, and in children may occur due to falls from playground equipment. Less frequently, strong rotation of the head may also result in Jefferson fractures. Jefferson burst fracture with bilateral fractures of anterior and posterior arch resulting from axial load. Stability determined by integrity of transverse ligament. If intact, hard collar. If disrupted, halo vest for bony avulsion or C1-2 fusion for intrasubstance tear.

The Jefferson fracture of C1 was first reported by Jefferson in 1920.[21,24] It is a compression fracture of C1 in which the anterior and posterior arches of C1 are fractured with disruption of the transverse atlantal ligament and resulting subluxation of C1 and C2.

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