Jefferson’s fracture is a fracture of the following veebra:

Correct Answer: C 1
Description: Jefferson fracture is a bursting fracture of the ring of C1 (the atlas) due to compression forces. There are usually two or more fractures through the ring of C1. The open-mouth odontoid view may show lateral dislocation of the lateral masses of C1. The rule of Spence states that 7 mm or greater combined dislocation indicates disruption of the transverse ligament. The transverse ligament stabilizes C1 with respect to C2. Jefferson fractures dislocated Ref: Schwaz's principle of surgery 9th edition, chapter 42.
Category: Surgery
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