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A Nonsurgical Solution: Jefferson (Burst) Fracture

  • Shee Yen Tay
    Affiliations
    Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taiwan, Republic of China

    Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taiwan, Republic of China
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  • Chia-Wei Li
    Affiliations
    Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taiwan, Republic of China
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  • Chih-Hsiang Ko
    Affiliations
    Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taiwan, Republic of China

    Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taiwan, Republic of China
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  • Wing P. Chan
    Correspondence
    Requests for reprints should be addressed to Wing P. Chan, MD, Department of Radiology, Taipei Medical University and School of Medicine, 111 Hsing-Long Road, Section 3, Taipei 116, Taiwan.
    Affiliations
    Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taiwan, Republic of China

    Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taiwan, Republic of China
    Search for articles by this author
      Patients with the burst type of Jefferson fracture, in which the 2-part anterior and posterior atlas rings are broken, can sometimes be healed without surgical stabilization. After falling down some stairs and hitting the top of her head, a 75-year-old woman presented to the emergency department with severe neck pain. She had no nausea or vomiting, and she had remained clearly conscious throughout her ordeal.

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