• J Bone Joint Surg Br · Feb 1977

    Case Reports

    Potentially fatal asphyxia following a minor injury of the cervical spine.

    • A J Howcroft and D H Jenkins.
    • J Bone Joint Surg Br. 1977 Feb 1;59(1):93-4.

    AbstractThe case is reported of an elderly man with asymptomatic cervical spondylosis who sustained a minor hyperextension injury of the cervical spine when the brakes of a car were applied suddenly to avoid a collision. Within six hours marked swelling of the neck and severe dyspnoea developed, and a lateral radiograph showed the pharyngeal shadow displaced far forwards and a crack fracture of an anterior osteophyte. Tracheostomy and evacuation of a massive prevertebral haematoma were performed, with immediate relief. The case draws attention to the possibility of this serious complication of a "whiplash" type of injury.

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