cervical teardrop fracture radiology xray radedasia

The patient has had trauma with a cervical fracture seen elsewhere. Is this a teardrop fracture? What do you think?

This is not a teardrop fracture but chronic ossification in the annulus. 

 

The reasons why this is not a fracture is that the bone is very well corticated and (ok it's only a single image) but there is no donor site.

 

The important thing with teardrop fractures is that acutely:

  1. At least one margin will not be corticated.
  2. Commonly you will see the donor site in the vertebral body. 

 

Its very common to osteophytes, annulus ossification or even sometimes a limbus vertebrae that can simulate a cervical teardrop fracture.

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