Jefferson fracture

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Jefferson fracture
Image of the first cervical vertebra, which is broken during a Jefferson fracture
SpecialtyOrthopedics

A Jefferson fracture is a

cervical spine.[1]

It is named after the British neurologist and neurosurgeon Sir Geoffrey Jefferson, who reported four cases of the fracture in 1920 in addition to reviewing cases that had been reported previously.[2]

Signs and symptoms

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.[1]

In rare cases,

congenital abnormality may cause the same symptoms as a Jefferson fracture.[3][4]

Cause

Axial CT scan showing a Jefferson fracture.

Jefferson fracture is often caused by an impact or load on the

back of the head, and are frequently associated with diving into shallow water, impact against the roof of a vehicle and falls,[5] and in children may occur due to falls from playground equipment.[6] Less frequently, strong rotation of the head may also result in Jefferson fractures.[5]

Jefferson fractures are extremely rare in children, but recovery is usually complete without surgery.[6]

Diagnosis

Treatment

The use of

fusion or fixation of the first three cervical vertebrae;[1][7] fusion may occur immediately, or later during treatment in cases where non-surgical interventions are unsuccessful.[7] A primary factor in deciding between surgical and non-surgical intervention is the degree of stability[7][9] as well as the presence of damage to other cervical vertebrae.[9]

Though a serious injury, the long-term consequences of a Jefferson's fracture are uncertain and may not impact longevity or abilities, even if untreated.[10] Conservative treatment with an immobilization device can produce excellent long-term recovery.[11][12]

References

  1. ^ a b c d e Wheeless, Clifford. "Atlas Frx / Jefferson Fracture". Duke University Division of Orthopaedic Surgery. Retrieved 2007-11-29.
  2. S2CID 71921223
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  5. ^ a b Foster, Mark (2006-12-01). "C1 Fractures". WebMD. Retrieved 2007-11-29.
  6. ^
    S2CID 42460934
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External links