A patient presented with severe pain in the neck.X ray shows the following features.What can be the most possible diagnosis?
A. Cervical Burst Fracture
B. Hangman’s fracture
C. Jefferson fracture
D. Odontoid Fracture
Ans:C. Jefferson fracture
A Jefferson fracture is a bone fracture of the anterior and posterior arches of the C1 vertebra,though it may also appear as a three- or two-part fracture. The fracture may result from an axial load on the back of the head or hyperextension of the neck (e.g. caused by diving), causing a posterior break, and may be accompanied by a break in other parts of the cervical spine.
- Individuals with Jefferson fractures usually experience pain in the upper neck but no neurological signs. The fracture may also cause damage to the arteries in the neck, resulting in lateral medullary syndrome, Horner’s syndrome, ataxia, and the inability to sense pain or temperature.
First Cervical vertebra: