Hi all, yesterday Friday 1 May was a stressful day for me I had to go and have an Xray done of my neck as I still have pain from when I fell on the cruise. However, I had only just got home when my doctor’s surgery called to tell me I had to go back and have a CT scan done of my neck asap. So, I went back and had that done the radiologist spoke to Sue and explained there was a small break in the neck.

After a couple of hours my doctor’s surgery rang and said I needed to go to emergency about the break, I didn’t want to go due to the time, but of course I did, Sue took me over and she stayed with me the whole time, I was there around 8hrs.

So, I have a C4 teardrop fracture at the back of my neck but thankfully not the front and the break is stable.

A C4 teardrop fracture is a serious injury to the cervical spine, typically caused by high-energy trauma such as a car accident or a heavy fall. This type of fracture occurs at the fourth cervical vertebra and is often associated with damage to the spinal cord, which can result in varying degrees of paralysis or loss of sensation below the level of the injury. In addition to bony damage, there may also be ligamentous injury and potential instability in the neck, making immediate medical attention critical to prevent further complications.

Symptoms of a C4 fracture vary depending on the injury’s severity and spinal cord involvement. Patients experience localized pain in the neck, which may radiate to the shoulders or arms. Muscle spasms, numbness, tingling, or weakness in the arms and legs are common. More serious neurological deficits, such as paralysis in the arms, hands, torso, and legs, or even loss of diaphragm function requiring ventilator assistance, can occur with spinal cord involvement. Recognizing these symptoms and seeking prompt medical attention is important to prevent further damage.

I now have to go back to my GP and arrange to have an MRI done to check for ligamentous injury.

So what does this mean in the long run, well it is still a serious cervical spine injury a future fall could cause loss of stability in the fracture which would not be good. As this could cause damage to the spinal cord resulting in problems breathing, difficulties moving my arms, loss of sensation in my body.

Worsening of the fracture as in an increased displacement, new cracks, or involvement of other vertebrae. As well as soft‑tissue injury to ligaments, discs, and muscles around the fracture can be damaged, reducing stability.

Then there are delayed neurological symptoms such as numbness, tingling, weakness, or changes in coordination.

So even a “simple” fall — tripping, slipping, or landing awkwardly can transmit force through the neck. So, a stable C4 teardrop fracture can stay stable if protected, but a fall can change the situation quickly.