(A) CT reconstruction lateral cervical spine demonstrating compression fracture and spinous process fracture from motor vehicle collision flexion injury.

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Presentation transcript:

(A) CT reconstruction lateral cervical spine demonstrating compression fracture and spinous process fracture from motor vehicle collision flexion injury in a 9½-year-old boy. There is a displaced and distracted fracture involving the C6 spinous process (although not visualized, this fracture extends into the lamina on left side). Also not visualized in these images, the C6-C7 facet joints show mild widening, especially on right side with uncovering of the superior facet of the C7. There is associated widening of the C6-C7 disc space with anterior compression deformity of C7 vertebral body. Findings are compatible with a hyperflexion injury of the cervical spine. (B) MRI demonstrating compression fracture and spinous process fracture. A 20-30% compression deformity superior aspect of the vertebral body at C7. No traumatic injury at the C6-C7 disc. Source: Spinal Trauma, CURRENT Diagnosis & Treatment: Pediatric Emergency Medicine Citation: Stone C, Humphries RL, Drigalla D, Stephan M. CURRENT Diagnosis & Treatment: Pediatric Emergency Medicine; 2014 Available at: http://accessemergencymedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/1175/sto_ch28_f009.png&sec=73101869&BookID=1175&ChapterSecID=65108881&imagename= Accessed: October 20, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved