Xray of Cervical Spine With Dislocation of C3 Vertebra Over C4

Xray of C3 Cervical spine vertebra over C4

dislocation C3 Cervical  Vertebra Over C4

dislocation C3 Vertebra Over C4

The vertebrae have been numbered for easier understanding.

Xray Images of Fracture of D12 With Dislocation D11 Vertebra Over D12

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

Fracture of D12 Vertebra With Dislocation of D11-D12 AP View

Here is lateral view [Read more...]

XRay and MRI Pictures Of Cervical Spine C4-C5 Level Dislocation

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

Xray showing Cervical Diislocation C4 Over C5 Vertebra

MRI shows the dislocation and a disc compressing on the cord as well. [Read more...]

MRI Image Of Dislocation of C4 Vertebrae Over C5 Showing Compression Of Cord

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.

Disclocation of C4 vertebrae over C5 and disc compression of the cord
MRI SHowing Cord Compression By Disc Following C4 C5 Dislocation

The patient was treated by anterior decompression and fusion of C4 and C5 vertebrae

CT Image Of Fracture D12 Vertebra

CT Scan image of Twelfth Thoracic vertebra

CT Scan of Spine Showing D12 Vertebra Fracture

CT Scan of Spine Showing D12 Vertebra Fracture

The patient had this fracture due to fall from height.

Complications Of Spinal Injuries In Thoracic & Lumbar Spine

Injuries to thoracolumbar spine can lead to a variety of potential complications.

Nonsurgical 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...]

Fractures In Osteoporotic Spine

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 Of Thoracolumbar Spine

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...]

Fracture Dislocations In Thoraco Lumbar Spine

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 Injuries of Thoraco Lumbar Spine

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

  • The posterior elements are torn apart through either the facet joints or the bone itself
  • The middle column is torn apart through either the posterior disc or the posterior vertebral body
  • The anterior column is either disrupted in severe injuries or left as a hinge that cannot resist either flexion or rotational displacement

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...]