PMC7502122_01
Preoperative cervical X-ray demonstrating severe right laterocollis.
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Shortly before presentation, she suffered severe worsening of her right laterocollis (Figure 1).
Cervical CT showing subluxation of the posterior C1 ring into the spinal canal.
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Imaging revealed subluxation of C1 on the C2 vertebra (Figure 2) and loss of structural integrity due to subacute comminuted C1 fractures and a type 2 odontoid fracture (Figure 3).
Cervical CT showing 1 of the multiple C1 fractures.
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Imaging revealed subluxation of C1 on the C2 vertebra (Figure 2) and loss of structural integrity due to subacute comminuted C1 fractures and a type 2 odontoid fracture (Figure 3).
Cervical MRI (STIR) showing increased STIR signal in the spinal cord at the C1 level (orange arrow) and odontoid fracture (green arrow).
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There were severe cord compression and cord signal change at this level (Figure 4).
(a, b) Cervical CT one year after surgery demonstrating the occipital-C3 construct.
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Her CT one year after surgery showed robust fusion from the skull base through C3 (Figure 5).
Postoperative AP cervical X-ray showing improvement in lateral deviation of the head following fusion.
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Her X-rays (Figure 6) showed significant improvement in the lateral posture of her neck compared to her preoperative condition.