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.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Ligaments of the craniocervical junction.J Neurosurg Spine. 2011; 14: 697-709
- Fractures of the cervical spine.Clinics (Sao Paulo). 2013; 68: 1455-1461
- Imaging of atlantooccipital and atlantoaxial traumatic injuries: what the radiologist needs to know.Radiographics. 2015; 35: 2121-2134
- Atlas fractures.Neurosurgery. 2010; 66: 60-67
- Case report: nonoperative treatment of an unstable Jefferson fracture using a cervical collar.Clin Orthop Relat Res. 2008; 466: 1257-1261
Article info
Publication history
Published online: June 11, 2018
Robert G. Stern, MD, Section EditorFootnotes
Funding: None.
Conflict of Interest: None.
Authorship: All authors had access to the data and a role in writing this manuscript.
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.