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Related Experiment Videos

Cervical spine control; bending the rules.

N S S Maskery1, N Burrows

  • 1Emergency Department, Salisbury District Hospital, UK. nickmaskery@aol.com

Emergency Medicine Journal : EMJ
|November 8, 2002
PubMed
Summary
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Cervical spine fractures are rare in diffuse idiopathic hyperostosis (DISH). A hyperextension neck injury in an undiagnosed DISH patient caused a C3/C4 fracture, which improved with flexion.

Area of Science:

  • Orthopedic Surgery
  • Neurosurgery
  • Radiology

Background:

  • Diffuse idiopathic hyperostosis (DISH) is a common spinal condition, but cervical spine fractures are infrequent compared to ankylosing spondylitis.
  • Patients with DISH may be asymptomatic, making them susceptible to fractures from minor trauma.

Observation:

  • A case report details a hyperextension neck injury in a patient with previously undiagnosed DISH.
  • The injury resulted in an angulated C3/C4 cervical spine fracture.

Findings:

  • Cervical spine fractures in DISH can occur with minimal trauma.
  • Immediate neck flexion improved the angulated C3/C4 fracture and associated neurological deficit.

Implications:

  • Highlights the risk of cervical fractures in undiagnosed DISH patients.

Related Experiment Videos

  • Demonstrates the potential benefit of conservative management (neck flexion) for such injuries.
  • Emphasizes the importance of considering DISH in patients with cervical spine trauma and hyperostosis.