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Research ArticleArticles

Teardrop fracture following head-first impact in an ice hockey player: Case report and analysis of injury mechanisms

James J. Yue, Paul C. Ivancic and David L. Scott
International Journal of Spine Surgery January 2016, 10 9; DOI: https://doi.org/10.14444/3009
James J. Yue
Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut, USA
MD
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Paul C. Ivancic
Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut, USA
PhD
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David L. Scott
Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut, USA
MD, PhD, DVM
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    Fig. 1

    Admission CT scans demonstrating teardrop fracture of the C5 vertebra. The sagittal plane sequence shows forward displacement and extension of the anterior VB fragment and retropulsion of the posterior VB fragment into the canal: a) left, b) midsagittal, and c) right. The frontal plane sequence shows the vertical fracture at the: d) anterior, e) mid, and f) posterior regions of the posterior VB fragment. The transverse plane sequence shows the aforementioned injuries in addition to the neural arch fractures indicated with arrows: g) inferior, h) mid-inferior, i) mid-superior, and j) superior. Note from the sagittal place sequence that the spine is tilted anteriorly relative to the axes of the scanner. Consequently, the anteroinferior region of the C4 VB appears in panels i and j of the transverse plane sequence.

  • Fig. 2
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    Fig. 2

    Admission T2-weighted MRI of the cervical spine demonstrating posterior displacement of the upper cervical spinal column, at and above the C5 vertebra, with epidural hematoma noted in the region of C5.

  • Fig. 3
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    Fig. 3

    Lateral radiographs demonstrating the corrected spinal alignment and stability resulting from the anterior fusion at C4 through C6 with bone graft restoring height of the C5 VB: a) post-op and b) 3.5 months. Nonunion at C5-6 was observed at 5 months (c). Bilateral posterior fusion was subsequently performed at C5-6 (d).

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International Journal of Spine Surgery
Vol. 10
1 Jan 2016
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Teardrop fracture following head-first impact in an ice hockey player: Case report and analysis of injury mechanisms
James J. Yue, Paul C. Ivancic, David L. Scott
International Journal of Spine Surgery Jan 2016, 10 9; DOI: 10.14444/3009

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Teardrop fracture following head-first impact in an ice hockey player: Case report and analysis of injury mechanisms
James J. Yue, Paul C. Ivancic, David L. Scott
International Journal of Spine Surgery Jan 2016, 10 9; DOI: 10.14444/3009
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Keywords

  • teardrop fracture
  • injury mechanism
  • cervical spine
  • hockey
  • impact biomechanics

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