PMC6238326_01
Initial cervical computed tomography imaging revealing a C6 transverse vertebral body fracture with extension into the posterior column with notable cervical kyphosis and findings consistent with ankylosing spondylitis. (a) Left sagittal, (b) Mid sagittal, (c) Right sagittal
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F1
The non-contrast cervical computed tomography (CT) revealed a transverse three column fracture of the C6 cervical vertebra with minimal displacement; there was a mild kyphotic deformity and attendant evidence of multilevel auto-fusion of the spine consistent with the diagnosis of AS [Figure 1].
Computed tomography performed after failed positioning attempt reveals distraction of fracture margin with increased malalignment
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F2
The CT of the cervical spine following this aborted procedure revealed significant new malalignment and distraction of the fracture margin [Figure 2].
Computed tomography reveals improved alignment with successful placement of lateral mass and pedicle screws for a cervicothoracic posterior stabilization
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F3
The postoperative CT confirmed adequate alignment, intact instrumentation, and a good reduction of the injury [Figure 3].