What is the Diagnosis by Dr. Joseph Cesarine?
Answer: C2 extension teardrop fracture
Mechanism: Force hyperextension of neck with avulsion of anterior-inferior endplate of the vertebral body due to its attachment to the anterior longitudinal ligament
Radiographic Findings: Triangular shaped (teardrop) fracture fragment
Pathology: This fracture can be stable or unstable depending on fracture displacement and/or spinal cord injury. This injury can be associated with central cord syndrome, other cervical spine fractures, or vascular injury to neck.
Treatment: Strict c-spine precautions and involvement with your spine surgeon
1. Gaillard, F. "Extension tear drop fracture." Radiopedia.org. February 2017.
2. Moore, D. "Subaxial Cervical Vertebral Body Fractures." OrthoBullets. 2017.
3. Kaji, A. et al. "Spinal colum injuries in adults: Definitions, mechanisms, radiographs." UpToDate, Inc. July 2016.