<wrap hi>C2 Vertebral Body Fracture Classification (Benzel)</wrap>
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<wrap lo> The Benzel classification divides fractures of the C2 (axis) vertebral body into three types based on the fracture plane and the associated stability. </wrap>
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<tab>🟩 Type I – Coronal Plane Fracture</tab>
- Fracture line runs anterior to posterior.
- Generally stable.
- May include mild anterior compression.
- Common treatment: rigid cervical collar or halo vest.
<tab>🟨 Type II – Sagittal Plane Fracture</tab>
- Parasagittal fracture, often separating a superior articular facet.
- Potentially unstable, especially if displaced or facet-involved.
- May require anterior C2–C3 fusion or posterior instrumentation.
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<wrap lo> Classification Summary Table: </wrap>
Type | Fracture Plane | Stability | Typical Treatment |
---|---|---|---|
🟩 I | Coronal | Stable | Rigid collar / Halo vest |
🟨 II | Sagittal | Potentially unstable | Surgery depending on displacement |
🟥 III | Horizontal | Unstable | Surgery |