Abstract:No previous reports have described combined upper and lower cervical injuries caused by a contrary injury mechanism.
A 44-year-old man was transferred complaining of quadriplegia caused by a rear-end collision car accident. CT and MRI findings revealed posterior atlanto-occipital dislocation (AOD) with three-part Jefferson fracture and subaxial distractive extension (DE) injury at the C3-4 and C6-7 levels. MRI showed spinal cord injury at C3-4 and C6-7, which caused quadriplegia and respiratory fail… Show more
“…Our case has some unusual features. Similar to Chang D et al [ 11 ], the mechanism of injury producing the fracture in our case didn't correspond to the axial load mechanism first described by Jefferson. Yet, the same fracture pattern was found.…”
Section: Discussionsupporting
confidence: 56%
“…Chang D et al described a three-part Jefferson fracture caused by a rear-end collision car accident. [ 11 ] A pedestrian injury and odontoid process breaking through the anterior ring was also reported to create a Jefferson fracture [ 1 , 10 ]. These studies showed other biomechanical points of view and added more spectrum of injury to the fracture.…”
“…Our case has some unusual features. Similar to Chang D et al [ 11 ], the mechanism of injury producing the fracture in our case didn't correspond to the axial load mechanism first described by Jefferson. Yet, the same fracture pattern was found.…”
Section: Discussionsupporting
confidence: 56%
“…Chang D et al described a three-part Jefferson fracture caused by a rear-end collision car accident. [ 11 ] A pedestrian injury and odontoid process breaking through the anterior ring was also reported to create a Jefferson fracture [ 1 , 10 ]. These studies showed other biomechanical points of view and added more spectrum of injury to the fracture.…”
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