PMC3755442_01
Initial CT of the cervical spine. (a) Sagittal image. Red arrow indicates the anterior arch of the C1 vertebrae (Atlas). The white arrow indicates the odontoid process fractured from the rest of the C2 vertebrae. (b) Coronal image of the initial CT. White arrow: odontoid process of C2 vertebrae with the fracture seen underneath it. Red arrow: lateral masses of the Atlas (C1 vertebrae).
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A noncontrast Computed Tomography (CT) was obtained to evaluate spine integrity (Figure 1).
MRI in T2 sequence of the cervical spine. Red arrow: chronic myelopathy (hyperintense signal) can be seen. Anterior to that the bone mass (pseudarthrosis) is seen. The white arrow is indicating the odontoid process of the axis (C2 vertebrae).
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Due to the high risk of myelopathy, Magnetic Resonance Image (MRI) of the cervical spine was ordered (Figure 2).