A neck fracture is a break in one or more of the cervical bones (vertebrae in the neck). The vertebrae are the bones that make up the spine.
A neck fracture is very serious and can lead to paralysis or possibly death. A person with a neck injury should not be moved without competent medical care, which is needed immediately.
It is important to recognize the possibility of a neck fracture. Injuries severe enough to cause head injury or other trauma often also cause neck fracture.
Cervical Spine Fractures
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The doctor will ask about your symptoms, physical activity, and how the injury occurred. The doctor will examine the injured area.
Tests may include:
—tests that use radiation to take a picture of structures inside the body, especially bones. It is used to look for a break in the bone or a dislocation of the vertebra.
—a test that uses a strong magnetic field and radio waves to make pictures of structures inside the neck and back. An MRI provides cross-sectional images that allow the doctor to see if there is damage to the spinal cord.
—a type of x-ray that uses computers to make pictures of structures inside the neck and back. It can be used to analyze bone injury and to see if the spinal cord is compressed by a collection of blood.
Treatment depends on:
- The severity of the fracture
- If there is an associated dislocation or instability
- Which cervical bones are broken
- Whether there is spinal cord or nerve injury, with muscle weakness or paralysis
When there is a possibility of a broken neck, complete immobilization of the neck area is necessary. For athletes, it is recommended to keep the helmet and shoulder pads on while immobilizing the spine.
Brace or Collar
A less serious neck fracture can be treated with a cervical brace or collar. It will need to be worn until the neck completely heals, usually 8 to 12 weeks. The doctor may recommend medications to reduce pain and swelling.
For a more severe fracture, you may need surgery to realign the bones. Your neck may be placed in traction prior to surgery. A metal plate with screws, or other methods of fixation, may be used to help hold the bones in place.
When your doctor decides you are ready, start
and strengthening exercises. A physical therapist should assist you with these exercises. Talk with your doctor before returning to any type of physical activity, and about lifting restrictions and other precautions.
You may need to wear a neck splint, spinal brace, or surgical collar for many months. The period of rehabilitation can last many months and even years.
Living with Paralysis
A neck fracture can sometimes result in spinal cord and nerve injury and paralysis. This may require major life changes, involving work, family, and social life. Extensive rehabilitation may be required, including physical and occupational therapy, and psychological support.