case_images: PMC7502122_01
case_images: Preoperative cervical X-ray demonstrating severe right laterocollis.
case_images: CRIOR2020-8897071.001.jpg
case_images: PMC7502122_01_CRIOR2020-8897071.001.jpg
case_images: fig1
case_images: Shortly before presentation, she suffered severe worsening of her right laterocollis (Figure 1).
case_images: Cervical CT showing subluxation of the posterior C1 ring into the spinal canal.
case_images: CRIOR2020-8897071.002.jpg
case_images: PMC7502122_01_CRIOR2020-8897071.002.jpg
case_images: fig2
case_images: 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).
case_images: Cervical CT showing 1 of the multiple C1 fractures.
case_images: CRIOR2020-8897071.003.jpg
case_images: PMC7502122_01_CRIOR2020-8897071.003.jpg
case_images: fig3
case_images: 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).
case_images: Cervical MRI (STIR) showing increased STIR signal in the spinal cord at the C1 level (orange arrow) and odontoid fracture (green arrow).
case_images: CRIOR2020-8897071.004.jpg
case_images: PMC7502122_01_CRIOR2020-8897071.004.jpg
case_images: fig4
case_images: There were severe cord compression and cord signal change at this level (Figure 4).
case_images: (a, b) Cervical CT one year after surgery demonstrating the occipital-C3 construct.
case_images: CRIOR2020-8897071.005.jpg
case_images: PMC7502122_01_CRIOR2020-8897071.005.jpg
case_images: fig5
case_images: Her CT one year after surgery showed robust fusion from the skull base through C3 (Figure 5).
case_images: Postoperative AP cervical X-ray showing improvement in lateral deviation of the head following fusion.
case_images: CRIOR2020-8897071.006.jpg
case_images: PMC7502122_01_CRIOR2020-8897071.006.jpg
case_images: fig6
case_images: Her X-rays (Figure 6) showed significant improvement in the lateral posture of her neck compared to her preoperative condition.