They are considered less severe and often managed conservatively 1. C2), and have no associated posterior translocation of the posterior vertebral body. A similar-appearing anteroinferior fracture fragment may occur in extension teardrop fracture however, the extension fractures more commonly occur in the upper cervical spine (e.g. The "teardrop" fracture appearance is non-specific. Although milder cord injuries may be asymptomatic or have few neurological sequelae, injury with posterior column translocation, in particular, is associated with paralysis and quadriplegia 1. ![]() The long-term prognosis of this injury mostly depends on the degree of neurological injury. Due to the associated injury of both osseous and ligamentous structures, this fracture is usually unstable with almost all patients requiring decompression and internal fixation. The treatment and prognosis of flexion teardrop fractures are variable and depends on the degree of injury. NB: the interspinous interval may be normal or even decreased following traction-immobilization.evidence of posterior ligamentous rupture.retropulsion of bone fragments which narrow spinal canal.strongly correlates with degree of neurological injury 1,2.degree of posterior translocation of lower vs upper spinal column at the level of injury.The following should receive comment, whether present or absent: Given the spectrum of injury that occurs with flexion teardrop fracture, it is less important to label the findings as "flexion teardrop" and more important to draw attention to clinically relevant information. additional spinal fractures at other levels. ![]() more common inferior to the posterior vertebral body fragment vs the anterior fragment.intervertebral disc space narrowing ( discoligamentous injury).anterior dislocation of the facet joints.abnormal spinal alignment: often less apparent if imaging occurs after traction is performed. ![]()
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