PMC8422473_01
(a-c) Cervical CT scan showed a burst fracture with translational injury of C5 (top) and split fracture and right laminar fracture of C6 (middle). The fractured C5 body was partially lodged behind the body of C4. Bilateral facet dislocation was also noticed.
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F1
Cervical CT scan reveals a burst fracture and translational injury of C5 and split fracture of C6 [Figure 1].
(a and b) Cervical MRI shows a spinal cord edema from C2-T1 level and kinked spinal cord at C7-T1 level.
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F2
Unilateral left facet dislocation between C4 and C5 was identified [Figure 2].
Anterior plating of C4 and C6 with cage in place of C5. Lateral mass screws were inserted at C3, C4, and C6.
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F3
The spinal cord was seen kinked at the level of C7-T1 [Figure 3]. After anterior approach was completed, the patient was positioned prone for total laminectomy of C4 and C5 and lateral mass screw of C3, C4, and C6 [Figure 3]. Postoperative cervical evaluation showed satisfactory position of lateral mass screw [Figure 3].
Comparison of postoperative (left side picture, 17  lordotic angle) and preoperative Cobb angle (right side picture, 19  kyphotic angle).
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F4
Postoperative Cobb angle was corrected to 17  lordotic angle, whereas the preoperative was 19  kyphotic angle [Figure 4].