Jefferson Fracture

2021 ◽  
Author(s):  
Kamel El Salek ◽  
Jose Gavito, MD ◽  
Sherif Osman, MD
Keyword(s):  
Jefferson Fracture

Jefferson Fracture in a Child – Illustrative Case Report

2007 ◽  
Vol 43 (6) ◽  
pp. 526-530 ◽  
Author(s):  
Marcus C. Korinth ◽  
Alexandra Kapser ◽  
Martin R. Weinzierl
Keyword(s):  
Case Report ◽  
Illustrative Case ◽  
Jefferson Fracture

Jefferson fractures of the immature spine

2009 ◽  
Vol 3 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Nicholas AuYong ◽  
Joseph Piatt
Keyword(s):  
Cervical Spine ◽  
Head Injury ◽  
Young Children ◽  
Diagnostic Imaging ◽  
Neck Pain ◽  
Muscle Spasm ◽  
Spinal Trauma ◽  
Posterior Arch ◽  
Jefferson Fracture ◽  
Immature Spine

Jefferson fractures of the immature spine have received little attention in the study of pediatric spinal trauma. Fractures through synchondroses are a possibility in the immature spine, in addition to fractures through osseous portions of the vertebral ring, and they create opportunities for misinterpretation of diagnostic imaging. The authors describe 3 examples of Jefferson fractures in young children. All 3 cases featured fractures through an anterior synchondrosis in association with persistence of the posterior synchondrosis or a fracture of the posterior arch. The possibility of a Jefferson fracture should be considered for any child presenting with neck pain, cervical muscle spasm, or torticollis following a head injury, despite a seemingly normal cervical spine study. Jefferson fractures in young children are probably much more common than previously recognized.

Posterior Arch Bifocal Fracture of the Atlas Vertebra: A Variant of Jefferson Fracture

2001 ◽  
Vol 10 (3) ◽  
pp. 201-204
Author(s):  
Saad Abuamara ◽  
Jean-Nicolas Dacher ◽  
Joel Lechevallier
Keyword(s):  
Posterior Arch ◽  
Jefferson Fracture

Impaction fracture of the lumbar vertebrae with dural tear

1980 ◽  
Vol 53 (6) ◽  
pp. 765-771 ◽  
Author(s):  
Carole A. Miller ◽  
Richard C. Dewey ◽  
William E. Hunt
Keyword(s):  
Lumbar Spine ◽  
Cauda Equina ◽  
Lumbar Vertebrae ◽  
Dural Tear ◽  
Mechanism Of Injury ◽  
Content Type ◽  
X Ray ◽  
Jefferson Fracture ◽  
Vertical Impaction ◽  
Fine Print

✓ The authors describe a lumbar spine fracture that is characterized on anteroposterior x-ray views by separation of the pedicular shadows. It is almost invariably associated with posterior interlaminar herniation of the cauda equina through a dorsal dural split, and anterolateral entrapment or amputation of the nerve root. The fracture is unstable and requires internal fixation and fusion at the time of neurolysis. Fractures meeting these criteria should be explored as soon as the patient's condition permits. Myelography is usually unnecessary and may be contraindicated in some cases. The postulated mechanism of injury is hyperextension with vertical impaction and rupture of the ring made up of the lamina, pedicle, and vertebral body. The ring is fractured in several places in a manner similar to that seen in “Jefferson fracture” of C-1. The special anatomical relationships of the thoracolumbar junction and the plane of the lumbar facets are also discussed.

Cerebellar infarction after posterior direct reduction and fixation to treat an unstable Jefferson fracture: a case report

2018 ◽  
Vol 160 (3) ◽  
pp. 471-477 ◽  
Author(s):  
Seung Hwan Baek ◽  
Seung Ho Yoo ◽  
Kyoung Rai Cho ◽  
Jun Jae Shin
Keyword(s):  
Case Report ◽  
Direct Reduction ◽  
Cerebellar Infarction ◽  
Jefferson Fracture

scholarly journals Malformations of the atlas vertebra simulating the Jefferson fracture

1983 ◽  
Vol 140 (6) ◽  
pp. 1083-1086 ◽  
Author(s):  
JA Gehweiler ◽  
RH Daffner ◽  
L Roberts
Keyword(s):  
Jefferson Fracture

Atlantal fracture with transverse ligament disruption in a child

2009 ◽  
Vol 4 (3) ◽  
pp. 196-198 ◽  
Author(s):  
Marcelo D. Vilela ◽  
Eric C. Peterson
Keyword(s):  
Cervical Spine ◽  
Surgical Treatment ◽  
Upper Cervical Spine ◽  
Transverse Ligament ◽  
Jefferson Fracture ◽  
Fractures In Children ◽  
Upper Cervical ◽  
Almost All ◽  
Ligament Disruption

Even though fractures in children with immature spines occur predominantly in the upper cervical spine, isolated C-1 fractures are relatively rare. The fractures in almost all cases reported to date were considered stable due to the presence of the intact transverse ligament. The authors report the case of a young child who sustained a Jefferson fracture and in whom MR imaging revealed disruption of the transverse ligament. Although surgical treatment has been suggested as the treatment of choice for children with unstable atlantoaxial injuries, external immobilization alone allowed a full recovery in the patient with no evidence of instability at follow-up.

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