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Clavicle Fracture
Joseph Junewick, MD FACR
over 11 years ago
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Cord Injury - Hyperflexion Teardrop

Case Detail

Anatomy: Brain-Spine
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 10 years ago
Updated: over 10 years ago
Tags: PEDS
Modality/Study Types: MR
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13 year old found flaccid after falling 30 feet from tree.

Case Images


Cord Injury related to hyperflexion teardrop fracture


MR – Anterior translation of C4 relative to C5, anterior wedging of C5, fanning of the spinous processes, and reversal of cervical lordosis consistent with hyperflexion teardrop injury. The ALL, PLL and posterior ligamentous complex are disrupted. Note the multilevel cord edema.


Hyperflexion teardrop fractures are associated with anterior cord syndrome (immediate quadriplegia and loss of pain temperature and touch sensations but preserved proprioception and vibration). Cord edema has better prognosis than cord hemorrhage. Short segment involvement portends a better prognosis than long or multiple segment involvement.


Kim KS, Chen HS, Russell EJ, Rogers LF. Flexion teardrop fracture of the cervical spine: Radiographic characteristics. AJR (1989); 152:319-326.

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