case_images: PMC11823885_01
case_images: Sagittal (a) and axial (b) computed tomography images on initial presentation after the motor vehicle accident. There is 0.7 cm of retrolisthesis of C6 on C7, with fractures of the right occipital condyle (red arrow, a and b), small left occipital condyle avulsion (blue arrow, b), right transverse process of C6 (green arrow, c), bilateral transverse processes of C7 and T1 (green arrows, d and e), left transverse process of T2, T3, and T4.
case_images: JOCR-15-86-g001.jpg
case_images: PMC11823885_01_JOCR-15-86-g001.jpg
case_images: F1
case_images: With evidence of spine trauma, a computed tomography scan was obtained revealing a C6-C7 facet distraction and high-grade C6 retrolisthesis on C7 in addition to numerous fractures (Fig. 1).
case_images: T1-weight (a), T2-weight (b), and short tau inversion recovery (c) sagittal magnetic resonance imaging images. This demonstrates a complete transection of the cervical spinal cord below the cervical medullary junction. In addition, there is extensive edema extending into the inferior medulla with diffuse hemorrhage throughout the spinal canal.
case_images: JOCR-15-86-g002.jpg
case_images: PMC11823885_01_JOCR-15-86-g002.jpg
case_images: F2
case_images: Magnetic resonance imaging revealed a transected spinal cord just below the cervical-medullary junction (Fig. 2).
case_images: Lateral (a) and anterior-posterior (b) X-ray images of the cervical spine. Demonstrated is the cervical spine after C4-T2 instrumentation and fusion. Pedicle screws were placed in C4, C5, T1, and T2 bilaterally with an additional C6 screw on the left.
case_images: JOCR-15-86-g003.jpg
case_images: PMC11823885_01_JOCR-15-86-g003.jpg
case_images: F3
case_images: A C6-C7 reduction was performed along with C4-T2 instrumentation and fusion (Fig. 3).