The fulcrum of movement is different in children than adults, C2/3 compared to C5/6, respectively hence, in children, cervical fractures are more common in upper vertebrae. There are also other anatomical differences of the cervical spine between children and adults which are worth bearing in mind while interpreting paediatric studies. more than one vertebral column involvement ref required.increased or reduced intervertebral disc space height.There are many types of cervical spine fracture, some of which are unstable general indicators of instability include 9: C2 (~30%) and C7 (~20%) are the most commonly fractured levels 7. The cervical spine is susceptible to injury because it is highly mobile with relatively small vertebral bodies and supports the head which is both heavy and acts as a lever. blunt cerebrovascular injury (BCVI) especially in high cervical fractures, those associated with subluxation and fractures involving the transverse foramen.AssociationsĪssociated injuries are present in ~67% of patients 7: Falls, motor vehicle collisions, pedestrian accidents, cycling and diving are common causes of injury 6,7. Males are affected more commonly than females with a median age of injury of 56 years. Cervical spine fractures can occur secondary to exaggerated flexion or extension, or because of direct trauma or axial loading.
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