A CASE REPORT OF COMPLETE SEPARATION OF LOWER CERVICAL SPINE: A RARE PRESENTATION OF ‘UNDERTAKER’S FRACTURE’

Authors

  • Dipak H Vora Associate Professor, Department of Forensic Medicine & Toxicology, Govt Medical College & SSG Hospital, Vadodara.
  • Jigna R Parmar Third Year Resident Doctor, Department of Forensic Medicine & Toxicology, B. J. Medical College, Ahmedabad – 380016
  • Dharmesh S Patel Professor and Head, Department of Forensic Medicine & Toxicology, B. J. Medical College, Ahmedabad – 380016
  • Janki A Pateliya Third Year Resident Doctor, Department of Forensic Medicine & Toxicology, B. J. Medical College, Ahmedabad – 380016
  • Kalpesh A Shah Dean, B. J. Medical College, Ahmedabad -380016

Keywords:

Undertaker’s fracture, Post-mortem artefact, Decomposition.

Abstract

‘Undertaker’s fracture’ is the subluxation of the lower cervical spine, due to tear of the inter-vertebral disc at C6-C7 levels. It is usually produced due to rough handling of a dead body by mortuary attendants or during improper transportation. Here we are presenting the case of a decomposed dead body, unknown female, aged about 35- 40 years, recovered from the Narmada canal in June month. We found ‘Undertaker’s Fracture’ in the form of complete separation of cervical spine at the level of intervertebral disc between C6 and C7 vertebrae. No antemortem injuries were found. Post-mortem artefacts can mislead the autopsy surgeon with insufficient autopsy experience and even can lead to a miscarriage of justice. A good autopsy surgeon should be able to differentiate between a genuine autopsy finding and an artefact. 

References

Reddy KSN, Murty OP. The Essential of Forensic Medicine & Toxicology. 35th edition. Jaypee Brothers Medical Publishers Pvt. Ltd., New Delhi; 2022:359- 363.

Saukko P, Knight B. Knight’s Forensic Pathology, 4th edition, CRC Press, Florida, 2016: 39-40.

Vij K. Textbook of Forensic Medicine and Toxicology Principles & Practice. 5th Edition. Reed Elsevier India Pvt. Ltd, New Delhi; 2014:31-33.

Mittal P, Sharma G, Chawla R, “Undertaker’s fracture: A rare artefact discovered at autopsy”/ European Journal of Forensic Sciences, DOI: 10.5455/ ejfs.218228/ www.ejfs.co.ukMay 30,2016.

Biswas G. Review of Forensic Medicine and Toxicology. 4th edition. Jaypee Brothers Medical Publishers Pvt. Ltd., New Delhi; 2019:409.

Kannan K. Modi’s textbook of Medical Jurisprudence and Toxicology. 26th edition. Lexis Nexis, New Delhi; 2019: 379.

Nandy A. Principles of Forensic Medicine including Toxicology. 3rd Edition. New Central Book Agency (P) Ltd, London; 2012:302-303.

Rao NG. Textbook of Forensic Medicine and Toxicology. 2nd edition. Jaypee Brothers Medical Publishers Pvt. Ltd., New Delhi; 2010: 188-190.

Aggarwal A. Textbook of Forensic Medicine and Toxicology. 2nd edition. Avichal Publishing Company, New Delhi; 2021:200-203.

Published

2023-05-30

How to Cite

A CASE REPORT OF COMPLETE SEPARATION OF LOWER CERVICAL SPINE: A RARE PRESENTATION OF ‘UNDERTAKER’S FRACTURE’. (2023). Journal of Forensic Medicine & Toxicology, 40(1), 106–109. Retrieved from https://acspublisher.com/journals/index.php/jfmt/article/view/17785