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Dr. Ebraheim’s educational animated video describes the condition of tear drop fracture. Cervical spine. 1-Flexion tear drop fracture: interspinous ligament tear. Most severe unstable fracture of the cervical spine. Typically occurs from flexion and compression. 2-Extension teardrop fracture: usually occurs at C2. Disruption of the anterior longitudinal ligament. Stable avulsion fracture from attachment of the anterior longitudinal ligament to the inferior corner of the vertebral body. Both fractures involve the anterior-inferior aspect of the vertebral body. Flexion teardrop fractures typically affect C5-C6 extension tear drop usually occurs at C2. Flexion teardrop fractures are severe flexion injuries of the cervical spine along with axial loading (compression). This injury may occur for example in diving headfirst into shallow water. A flexion teardrop fracture is usually associated with spinal cord injury. There will be displacement of the posterior part of the vertebral body into the spinal canal. Separation of the spinous process will be seen due to disruption of the posterior ligaments. The fracture is unstable and will require surgery. A flexion teardrop fracture is best seen in the lateral view x-ray. Extension teardrop fractures are stable fractures with no widening of the posterior elements or no posterior vertebral body displacement. No spinal cord injury. Surgery is not needed. This fracture occurs due to sudden pull of the anterior longitudinal ligament on the anterior inferior aspect of the vertebral body. Extension tear drop fractures occur in extreme hyperextension of the neck and usually involve C2. The fracture is usually seen on lateral view x-rays. The rest of the vertebrae architecture will be normal except for some prevertebral soft tissue swelling. Become a friend on facebook: / drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Background music provided as a free download from YouTube Audio Library. Song Title: Every Step