Xray of C3 Cervical spine vertebra over C4

dislocation C3 Vertebra Over C4
The vertebrae have been numbered for easier understanding.
Orthopedic Care and Consultation
Xray of C3 Cervical spine vertebra over C4

dislocation C3 Vertebra Over C4
The vertebrae have been numbered for easier understanding.
Follwing xrays are of thoracolumbar spine of patient with spinal injury. The patient has fracture of D12 vertebra and dislocation of D11 over D12 vertebra.
Here is the AP view

Fracture of D12 Vertebra With Dislocation of D11-D12 AP View
Here is lateral view [Read more...]
Xray and MRI pictures of dislocation of C4 vertebra over C5. Here is the lateral view of injured spine on xray

Xray showing Cervical Diislocation C4 Over C5 Vertebra
MRI shows the dislocation and a disc compressing on the cord as well. [Read more...]
45 years old male got struck by a pole that fell on it while he was working in his fields. He came to emergency with complaints of weakness in all four limbs and pain in the neck.
THe xray showed C4-C5 dislocation and MRI revealed a compression on the cord by disc between these two vertebrae.
Here is MRI picture.

The patient was treated by anterior decompression and fusion of C4 and C5 vertebrae
CT Scan image of Twelfth Thoracic vertebra

CT Scan of Spine Showing D12 Vertebra Fracture
The patient had this fracture due to fall from height.
Injuries to thoracolumbar spine can lead to a variety of potential complications.
These complications are not related to surgical procedures and in most cases are related to injury pattern.
Neurological Deficits
Neural deficit is quite a significant problem associated with thoracolumbar injuries. While early neural deficits are following injury to the cord, delayed deficits can be due to syrinx formation after thoracolumbar trauma. [Read more...]
Osteoprosis is a disease of bones that leads to reduction of mineral content in the bone. This results in weakened bones which become highly susceptible to fracture, even with trivial trauma. Cancellous bones like spine loose mineral early. Fractures of spine in osteoprostic indviduals tend to be compression fractures mostly. This is due to progressive collapse of vertebral body.
These osteoporotic compression fractures are occasionally accompanied by radicular pain and rarely by neurologic deficit.
Presentation
Most of the patients are quite elderly. The usual presentation is of severe back pain which can be often accompanied radiating pain. Neural deficit is rare. [Read more...]
Gunshot injuries are quite distinct from other thoracolumbar injuries. The mechanism of injury in these is different than other spine injuries.
Here a missile passes through the spine rather than the spine being forcibly accelerated or decelerated that results in structural failure.
The extent and type of neurologic deficits from gunshot injuries to the thoracolumbar spine vary. [Read more...]
Thoracolumbar fracture-dislocations are high-energy injuries that resulting in a highly unstable spine associated with neurologic deficit which often is complete. These are less common than burst fractures or flexion distraction injuries.
By definition, fracture-dislocation are three column injuries. The mechanism of injury usually involves a combination of forces, including flexion, extension, shear, torsion, and compression.
These injuries are also associated with other musculoskeletal and visceral injuries often. [Read more...]
Flexion-distraction, or seat-belt fractures may be either one- or two-level injuries. The classic one-level injury is the Chance Fracture.
The classic mechanism involves the patient being thrown forward across an intact lap-belt, resulting in a hyperflexion force acting around a center of rotation anterior to the spinal column at the belt.
This results in distraction forces at all three columns of the spine
There could be associated injuries frequently due to violent compression of viscera between the spinal column and lap belt. Rates of intra-abdominal hollow viscus injury is reported as high as 50%. [Read more...]
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