PMC8202375_01
Plain radiograph anteroposterior view demonstrating C5 vertebral body fracture
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F1
C5 vertebra with posterior translation of proximal spinal column [Figures 1 and 2]. Computed topographic (CT) scan revealed the similar fracture with fracture of the bilateral facets of C5 vertebra without any subluxation [Figure 3].
Plain radiograph lateral view demonstrating C5 vertebral body fracture flexion tear-drop type
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F2
C5 vertebra with posterior translation of proximal spinal column [Figures 1 and 2]. Computed topographic (CT) scan revealed the similar fracture with fracture of the bilateral facets of C5 vertebra without any subluxation [Figure 3].
Computed topographic scan axial view of cervical spine demonstrating facetal fracture in addition to C5 body fracture
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F3
C5 vertebra with posterior translation of proximal spinal column [Figures 1 and 2]. Computed topographic (CT) scan revealed the similar fracture with fracture of the bilateral facets of C5 vertebra without any subluxation [Figure 3].
Magnetic resonance imaging T2 sagittal view demonstrating the fracture with posterior shift of proximal spinal column
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F4
Magnetic resonance imaging (MRI) revealed no anterior source of cord compression even with mild posterior displacement of the proximal column [Figure 4].
Magnetic resonance imaging T2 weighted axial view demonstrating the fracture with deficient vertebral artery flow void on right side
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F5
It however demonstrated the absence of flow void of the right vertebral artery on T1-weighted axial images [Figure 5].
MR angiography demonstrating right vertebral artery deficient filling as compared to the left normal vertebral artery (red arrow)
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F6
At the time of presentation, there was right posterior inferior cerebellar artery (PICA) territory infarct secondary to right vertebral artery injury (VAI) [Figure 6].
Postoperative plain anteroposterior radiograph demonstrating C5 corpectomy, bone grafting, and anterior cervical plating
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F7
Philadelphia type brace [Figures 7 and 8]. Postoperatively, the motor power of lower limb improved by a single grade, but in upper limb recovery of only finger movements occurred.
Postoperative plain lateral radiograph demonstrating C5 corpectomy, bone grafting, and anterior cervical plating
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F8
Philadelphia type brace [Figures 7 and 8]. Postoperatively, the motor power of lower limb improved by a single grade, but in upper limb recovery of only finger movements occurred.