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previously visited THE INJURY OF CERVICAL COLUMN Random Case
Authored By: Oswaldo Ramos, Radiologist, Post Grado Radiologia y Diagnostico por Imagenes. CCMEA. Valera. Trujillo., Venezuela.
Patient: 17 year old male
History: Masculine patient of 17 years of age, that underwent fall of approximately 5 meters of height
Images:[small]mediumlargeas-submittedimages only

Fig. 1: T2 Sag6

Fig. 2: T2 Sag7

Fig. 3: T1 Sag7

Fig. 4: T1 Transv 12

Fig. 5: T1 Transv 13

Fig. 6: Cbass Transv 12
Images:[small]mediumlargeas-submittedimages only
Findings: Later displacement of C6 and cortical discontinuity with changes in the signal of intensity T1 and T2. Rupture of the later longitudinal ligament and edema to medullar adjacent with changes in the intensity signal.
Diagnosis: Fragmented fracture of C6 with later listless that produces rupture of the later longitudinal ligament and edema to medullar adjacent.
Discussion: The injury of column and their content are less frequent than those of skull, nevertheless 20% of the patients with crane encephalic traumatism present/display an injury to medullar spine associate. The great majority is caused by closed traumas, automobile accidents or sports. Cervical column high C1-C3 is very movable, allows extreme movements of flexion, rotation and extension. The low portion of C4-C7 has less mobility and it makes more vulnerable to the injury that other segments. The most common sites of injury are segments C5-C6-C7. Mechanism of injury: The closed injures are a combination of contusion forces, compression, rotation and distraction. Cervical Traumatism under: The injury mechanisms are results of the combination of: Flexion compression, flexion distraction, extension compression, vertical compression and lateral flexion. This type of injuries is accompanied by listless and is involved the neural structures.
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Nice case..thanks. was there injury of posterior interspinosous ligaments? because there´s a bit high signal on second sagital image. and was there prevertebral hematoma too?--Roberto cabrera, 2009-07-14 22:42:25
Additional Details:

Case Number: 516423Last Updated: 11-06-2009
Rating:

1 rating
Anatomy: Spine and Peripheral Nervous System   Pathology: Trauma
Modality: MRAccess Level: Readable by all users
Contained in: Case of the Week, Featured Cases, feilbert, firthronspinetrauma, kdlark, mckeedc, mrme, mslola55, pauln07, spianl trauma, spine cases, tamarakeith
Case has been viewed 5272 times.

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