Presentation
Cyclist. Collision with an oncoming motor vehicle. Thrown from his bike, complained of neck pain. No other bony injury and no neurological symptoms.
Patient Data
Step in the posterior vertebral line running along the posterior aspect of the vertebral bodies at C2/3. Evidence of C2 fracture with posterior displacement of the fractured peg.
On the peg view, the fracture is visualized at the base of the peg - a type II fracture.
The posterior portions of the cervical vertebral bodies should line up. There is a big jump between the posterior aspect of the peg and C3 indicating a peg fracture.
Case Discussion
Isolated fracture of C2, most clearly demonstrated on the lateral film. The peg view confirms the fracture and helps to type it.
Cross-sectional imaging was performed (but not uploaded). CT confirmed an isolated type II peg fracture. Underlying cord edema was confirmed on the MRI.
Unable to process the form. Check for errors and try again.