Vertebral Body Fracture (C-Spine)


Stable Fractures of the C-Spine
Wedge Compression Fx Flexion Multiple wedge fxs or loss of >50% of vertebral body height may be unstable
Transverse process fracture Flexion  
Clay shoveler's fracture
(Spinous process avulsion)
Flexion against contracted posterior muscles Most commonly at C7
Unilateral facet Flexion and rotation Anterior displacement <50% of width
Burst Fx Vertical compression Can be unstable if fragments enter canal
Isolated fractures of articular pillar and vertebral body Vertical compression "Double-outline" sign