You will most likely be taken to a hospital. The doctor will ask about your symptoms, physical activity, and how the injury occurred. The doctor will examine the injured area and perform a complete neurological exam.
Imaging tests may include:
- X-rays —to look for breaks in the bones or a dislocation of the vertebrae
- MRI —provides cross-sectional images to look for spinal cord damage
- CT scan —to analyze bone injury and to see if the spinal cord is compressed by a collection of blood
Neck fractures are serious injuries that can lead to paralysis or death. Call for medical help right away.
Immobilize and Stabilize the InjuryWhen there is a possibility of a neck fracture, immediate and complete immobilization of the head and neck area is necessary. Avoid excessive movement to prevent or minimize spinal cord injury. For athletes, it is recommended to keep the helmet and shoulder pads on while immobilizing the spine.
Once immobilized, you will be assessed for any other problems, such as secondary injuries, shock or airway obstruction. Stabilizing your injury may include:
- A breathing tube for a blocked airway
- IV fluids
- Admission to the hospital for monitoring
Once you are stabilized and assessed, your course of treatment will depend on:
- The severity of the fracture
- Which of the cervical bones are broken
- Which part of the cervical bones are broken
- Whether there is temporary or permanent spinal cord or nerve injury
Treatment options for neck fracture include:
- Neck brace or collar — Minor fractures can be treated with a neck brace or collar for up to 8 weeks. These devices will keep your neck in line while it heals.
- Traction — Rigid braces or a halo vest worn for up to 12 weeks can be used to treat more severe or unstable fractures. Traction allows for minimal movement beyond what is necessary.
- Surgery — Plates, screws, or wires may be needed to reconnect bone pieces and hold them in place. Surgery may also be needed to repair vertebrae, relieve pressure on the spinal cord or remove any damaged vertebral discs.
