CLINICAL AND IMAGING FEATURES OF CERVICAL TEARDROP FRACTURES

Ngô Quang Hùng1,, Vũ Văn Hoè2, Hà Kim Trung3, Nguyễn Thành Bắc2
1 Saint Paul Hospital
2 Military Hospital 103
3 Hai Phong International General Hospital

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Abstract

Objectives: To describe clinical and imaging features of cervical teardrop fractures. Methods: We implemented a prospective non-controlled interventional study of 43 cervical teardrop fractures at Viet Duc University Hospital and Saint Paul Hospital from January 2016 to December 2019. Results: Male-to-female ratio was 4/1. Mean age was 38.02 ± 12.56 years. Neck pain (100%) and radiculopathy (55,81%) were the most common symptoms. ASIA grade A and D were the most prevalent. Neurological deficit occurred in 79,07%. 62.7% of patients had mJOA score at severe and moderate stage.  C5 fracture accounted for 39.53%. Flexion teardrop fracture was the main mechanism. Conclusion: Cervical teardrop fractures usually occurred in working age man and the main cause were occupational and traffic accidents. Flexion teardrop fracture of C5 was the most frequent. Pathognomonic features of CT and MRI were associated with neurological deficits.

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References

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