Frakturen der Wirbelsäule
Vakuumphänomen
in eingebrochenem Wirbelkörper, dringend verdächtig für Wirbelkörpernekrose.
X-ray of the
cervical spine with a Hangman"s fracture. Left without, right with annotation. C2 (outlined in red) is moved forward with respect to C3 (outlined in blue).
Behandlung
einer instabilen Densfraktur: Spondylodese HWK 1 / 2 mit dorsalem Fixateur interne. Die Pedikelschrauben sind gekreuzt eingebracht. Der hintere Atlasbogen wird von den Klammern umfasst. Zusätzlich Spongiosamaterial angelagert.
Cervical
Spine MRI of patient with SCI: C4 fracture and dislocation, spinal cord compression
Praktisch
unverschobene, mehrfache Fraktur des Atlas im Sinne einer Jefferson-Fraktur bei einem 84 Jahre alten Mann nach Sturz auf den Kopf. Man erkennt in den beiden axialen Schichten der Computertomographie die Frakturlinien ventral und beidseits lateral. Keine Verlagerung des Dens.
Spinal fractures are usually the result of significant trauma to a normally formed skeleton or the result of trauma to a weakened spinal column. Examples include:
- Jefferson fracture: ring fracture of C1
- hangman fracture: bilateral pedicle or pars fracture of C2
- dens fracture
- flexion teardrop fracture: unstable flexion fracture
- extension teardrop fracture: stable injury
- clay-shoveler fracture: spinal process avulsion injury
- Chance fracture: horizontal fracture through the thoracolumbar spine
- burst fracture: always involves the posterior vertebral body cortex
- wedge fracture: single column anterior vertebral fracture
- vertebra plana: vertebra has lost almost its entire height both anteriorly and posteriorly
- chalk-stick fracture: most frequently in ankylosing spondylitis
- limbus fracture: fracture of the apophyseal ring
Further information about specific fractures can be found by anatomic site:
- cervical spine fracture
- thoracic spine fracture
- lumbar spine fracture
- sacral fracture
- coccygeal fracture
Differential diagnoses
- limbus vertebra: can mimic a fracture
See also
Related Radiopaedia articles
Spinal trauma
- spinal fractures
- morphology
- fractures by location
- classifications
- AO spine classification systems
- cervical spine fracture classification systems
- AO classification of upper cervical injuries
- AO classification of subaxial injuries
- Anderson and D'Alonzo classification (odontoid fracture)
- Levine and Edwards classification (hangman fracture)
- Roy-Camille classification (odontoid process fracture )
- Allen and Ferguson classification (subaxial spine injuries)
- thoracolumbar spinal fracture classification systems
- three column concept of spinal fractures (Denis classification)
- classification of sacral fractures
- facet dislocation
- listhesis
Fractures
- fracture
- terminology
- fracture location
- diaphyseal fracture
- metaphyseal fracture
- physeal fracture
- epiphyseal fracture
- fracture types
- avulsion fracture
- articular surface injuries
- complete fracture
- incomplete fracture
- infraction
- compound fracture
- pathological fracture
- stress fracture
- fracture displacement
- fracture translation
- fracture angulation
- fracture rotation
- fracture length
- distraction
- impaction
- shortening
- fracture location
- fracture healing
- skull fractures
- base of skull fractures
- skull vault fractures
- facial fractures
- fractures involving a single facial buttress
- alveolar process fractures
- frontal sinus fracture
- isolated zygomatic arch fractures
- mandibular fracture
- nasal bone fracture
- orbital blow-out fracture
- paranasal sinus fractures
- complex fractures
- dental fractures
- fractures involving a single facial buttress
- spinal fractures
- classification (AO Spine classification systems)
- cervical spine fracture classification systems
- AO classification of upper cervical injuries
- AO classification of subaxial injuries
- Anderson and D'Alonzo classification (odontoid fracture)
- Levine and Edwards classification (hangman fracture)
- Roy-Camille classification (odontoid process fracture )
- Allen and Ferguson classification (subaxial spine injuries)
- subaxial cervical spine injury classification (SLIC)
- thoracolumbar spinal fracture classification systems
- three column concept of spinal fractures (Denis classification)
- classification of sacral fractures
- cervical spine fracture classification systems
- spinal fractures by region
- spinal fracture types
- classification (AO Spine classification systems)
- rib fractures
- sternal fractures
- upper limb fractures
- classification
- Rockwood classification (acromioclavicular joint injury)
- AO classification (clavicle fracture)
- Neer classification (clavicle fracture)
- Neer classification (proximal humeral fracture)
- AO classification (proximal humeral fracture)
- AO/OTA classification of distal humeral fractures
- Milch classification (lateral humeral condyle fracture)
- Weiss classification (lateral humeral condyle fracture)
- Bado classification of Monteggia fracture-dislocations (radius-ulna)
- Mason classification (radial head fracture)
- Frykman classification (distal radial fracture)
- Mayo classification (scaphoid fracture)
- Hintermann classification (gamekeeper's thumb)
- Eaton classification (volar plate avulsion injury)
- Keifhaber-Stern classification (volar plate avulsion injury)
- upper limb fractures by region
- shoulder
- clavicular fracture
- scapular fracture
- acromion fracture
- coracoid process fracture
- glenoid fracture
- humeral head fracture
- proximal humeral fracture
- humeral neck fracture
- arm
- elbow
- forearm
- wrist
- carpal bones
- scaphoid fracture
- lunate fracture
- capitate fracture
- triquetral fracture
- pisiform fracture
- hamate fracture
- trapezoid fracture
- trapezium fracture
- hand
- shoulder
- classification
- lower limb fractures
- classification by region
- pelvis
- hip
- Pipkin classification (femoral head fracture)
- Garden classification (hip fracture)
- American Academy of Orthopedic Surgeons classification (periprosthetic hip fracture)
- Cooke and Newman classification (periprosthetic hip fracture)
- Johansson classification (periprosthetic hip fracture)
- Vancouver classification (periprosthetic hip fracture)
- femoral
- knee
- Schatzker classification (tibial plateau fracture)
- Meyers and McKeevers classification (anterior cruciate ligament avulsion fracture)
- tibia/fibula
- Watson-Jones classification (tibial tuberosity avulsion fracture)
- ankle
- foot
- Berndt and Harty classification (osteochondral lesions of the talus)
- Sanders CT classification (calcaneal fracture)
- Hawkins classification (talar neck fracture)
- Myerson classification (Lisfranc injury)
- Nunley-Vertullo classification (Lisfranc injury)
- pelvis and lower limb fractures by region
- pelvic fracture
- sacral fracture
- coccygeal fracture
- hip
- acetabular fracture
- femoral head fracture
- femoral neck fracture
- subcapital fracture
- transcervical fracture
- basicervical fracture
- trochanteric fracture
- pertrochanteric fracture
- intertrochanteric fracture
- subtrochanteric fracture
- thigh
- mid-shaft fracture
- bisphosphonate-related fracture
- knee
- avulsion fractures
- Segond fracture
- reverse Segond fracture
- anterior cruciate ligament avulsion fracture
- posterior cruciate ligament avulsion fracture
- arcuate complex avulsion fracture (arcuate sign)
- biceps femoris avulsion fracture
- iliotibial band avulsion fracture
- semimembranosus tendon avulsion fracture
- Stieda fracture (MCL avulsion fracture)
- patellar fracture
- tibial plateau fracture
- avulsion fractures
- leg
- tibial tuberosity avulsion fracture
- tibial shaft fracture
- fibular shaft fracture
- Maisonneuve fracture
- ankle
- foot
- tarsal bones
- Chopart fracture
- calcaneal fracture
- talar fracture
- navicular fracture
- medial cuneiform fracture
- intermediate cuneiform fracture
- lateral cuneiform fracture
- cuboid fracture
- metatarsal bones
- phalanges
- tarsal bones
- classification by region
- terminology
Siehe auch:
- Hyperextensionsfraktur HWS teardrop
- Frakturen mit Eigennamen
- Densfraktur
- Vertebra plana
- Randleistenhernie
- Jefferson-Fraktur
- Frakturen der Halswirbelsäule
- chance fracture
- Wirbelsäulenfrakturen bei Morbus Bechterew
- 3-Säulen-Modell nach Denis
- Berstungsfraktur
- hangman fracture
- hyperextension cervical injuries
- thoracolumbar spinal fracture classification systems
- Dreisäulenfraktur der Wirbelsäule
und weiter:
- Vakuumphänomen im Wirbelkörper
- named fractures
- lumbar spine fracture dislocation
- thoracolumbar spinal fractures : three column concept
- frische Fraktur KM-Aufnahme MRT
- Wirbelkörperfraktur vs. Wirbelkörpermetastase
- Wirbelkörperfraktur
- paralytic ileus (mnemonic)
- Fraktur vordere Säule der Wirbelsäule
- paediatric seat-belt injury
Assoziationen und Differentialdiagnosen zu Frakturen der Wirbelsäule:
