X ray cervical spine4/19/2024 ![]() ![]() ![]() anterior fragment often minimally displaced.larger fragments may not appear triangular.classically a triangular fragment (teardrop sign).fracture of the anteroinferior lip of vertebral body.The most characteristic findings include: Less severe injuries manifest as incomplete patterns, and are less associated with neurological injury 1.įlexion teardrop fractures most commonly occur at the mid/lower cervical spine, specifically at C4, C5, or C6 1,2. The overall extent of injury is quite variable. variable posterior translocation of the lower cervical column in relation to the upper column 1,2, often with focal kyphotic deformity these features, together with possible retropulsed fracture fragments, correspond to the characteristic anterior spinal cord injury.forward rotational force causing distraction along posterior elements and tensile rupture of posterior ligaments (e.g. ![]() fracture continuation through the vertebral inferior subchondral plate (endplate), with shearing/rotational injury of the posterior discoligamentous complex and rupture of posterior longitudinal ligament 1.shearing/compression fracture along the anterior vertebral body, isolating a (classically) triangular anterior fragment and with rupture of anterior longitudinal ligament.With the most severe injuries, there is a structural failure in a characteristic pattern: diving impact, deceleration during motor vehicle collision). The injury typically occurs from severe flexion and compression forces (e.g. ![]()
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