PMC3642752_01
Sagittal CT imaging demonstrating the fracture extending through to the posterior portion of the C2 end plate
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F1
A primary cervical spine computed tomographic (CT) scan showed a displaced fracture involving the anteroinferior aspect of the body of C2, widening of the right C2-C3 facet joint, and a prevertebral hematoma [Figure 1].
Sagittal MRI demonstrating the extent of the soft tissue injury not apparent of the CT: Narrowed canal, anterior and posterior ligamentous disruption, small epidural hematoma and prevertebral edema
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F2
These findings prompted magnetic resonance imaging (MRI), which showed disruptions of the anterior and posterior longitudinal ligaments and the right and central posterior ligamentous complex [Figure 2].
Lateral X-ray demonstrating fusion at C2-4 and good healing of the fracture fragments at 6-month follow up
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F3
At a 6-month follow up, a radiograph of the cervical spine showed a solid fusion [Figure 3].