File:Atlanto-occipital dissociation (Traynelis type 1), C2 teardrop fracture, C6-7 facet joint dislocation (Radiopaedia 87655-104061 Sagittal bone window 32).jpg

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Summary:

Description
  • Radiopaedia case ID: 87655
  • Image ID: 54590840
  • Image stack position: 32/81
  • Plane projection: Sagittal
  • Aux modality: bone window
  • Modality: CT
  • System: Musculoskeletal
  • Findings: The head is rotated to the right. Even allowing for this, there is subluxation of the atlanto-occipital articulations bilaterally. On the right, the occipital condyle is impacted against the right lateral mass of C1, with fractures of both articular surfaces. Fracture arising from the right occipital condyle is mildly displaced medially. On the left, there is impaction without definite fracture line or displaced fracture fragments.Triangular fracture arising from the anteroinferior aspect of C2, with up to 7 mm anterior fracture displacement into the prevertebral soft tissues. There is slight retropulsion of C1 on C2. The right C2/C3 facet joint is mildly widened.Small density at the posterior aspect of the C4/C5 disc is likely longstanding.Grade 1 anterolisthesis of C6 on C7, with uncovering of the C6/C7 disc. Unilateral subluxation of the right C6/C7 facet joint. Bilateral intra-articular fractures of the inferior articular surfaces of C7.The posterior longitudinal ligament is elevated between C1 to C7, with mildly reduced AP dimension of the cervical canal at C6/C7. Impression
Date Published: 15th Mar 2021
Source https://radiopaedia.org/cases/atlanto-occipital-dissociation-traynelis-type-1-c2-teardrop-fracture-c67-facet-joint-dislocation
Author Craig Hacking
Permission
(Permission-reusing-text)
http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

File history

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current02:45, 29 May 2021Thumbnail for version as of 02:45, 29 May 2021548 × 548 (107 KB) (talk | contribs)Radiopaedia project rID:87655 (batch #3154-32 A32)