#neckback

One of the unstable C-spine fractures. Caused by hyperextension injury causing C2 to displace anterior over C3 (blue arrow) often due to bilateral C2 pedicle fractures. Pre-vertebral soft tissue swelling is noted suggesting disruption of the anterior longitudinal ligament (orange arrow). Pars interarticularis fractures are also noted by the red arrow. These patients are at risk for disruption of the posterior longitudinal ligament. This fracture typically heals with immobilization. 

One of the unstable C-spine injuries. The occipital condyles become displaced from the superior C1 facets. This is sometimes referred to as an internal decapitation. Patients can be apneic on the scene and it is often a fatal injury. Disruption of the alar ligaments which attach the dens to the skull base or the transverse ligament, which holds the dens in place, may cause bony displacement and spinal cord compression. 

One of the unstable C-spine fractures. This is a burst fracture of C1 due to excessive axial loading where fractures occur through both the anterior and posterior arches. Radiographic findings on the odontoid view include lateral displacement of C1 relative to C2. Most patients do well with immobilization in a hard cervical collar. Complications include transverse ligament rupture, which is suggested by C1 lateral masses greater than 7mm wide. CT angiography is recommended if there is suspicion of vertebral artery injury. 

Burst fractures occur when the vertebrae is compressed under extreme traumatic forces. Unlike a simple compression fracture, multiple vertebral columns are involved and can subsequently “retropulse” fragments from the middle column backwards into the spinal cord. 

Vertebral compression fractures commonly occur in elderly, osteoporotic patients. It’s estimated that 25% of people over age 70 and 50% of patients over age 80 will suffer this type of fracture. Most fractures are managed with pain control medications and rest with a gradual return to activity. If pain medications are unsuccessful, a back brace (TLSO brace) can take pressure off the fractured bone to reduce pain symptoms. Surgery is not required since vertebral compression fractures are stable and unlikely to get worse. However, if a patient’s pain does not improve after 6 weeks, a procedure called kyphoplasty is considered. During kyophoplasty, a balloon is inserted into the compressed vertebrae, inflated and then a cement like material is injected to fill the space. It is also important to treat the underlying osteoporosis with calcium, bisphosphanates and Vitamin D to prevent recurrent fractures. 

Dotée d’un dos nu bordé de fleurs, mêlant tulle et crêpe, elle ravie l’élégance et la grâce de celle qui la porte. Sa forme Babydoll dévoile le côté malicieux de éternelle enfance de la femme. 

Neck(back) Massage by Marix Therapy http://www.marixtherapy.com/ http://www.facebook.com/marixtherapy This video shows only few general massage movements/tec…