case_images: PMC8488903_01
case_images: Cervical spine CT sagittal bone window showing C3 on C4 anterior subluxation.
case_images: SNI-12-390-g001.jpg
case_images: PMC8488903_01_SNI-12-390-g001.jpg
case_images: F1
case_images: CT scan showed left parietal skull fracture with underlying punctate cerebral contusions. Cervical spine CT scan [Figure 1] reported as 75% C3 on C4 anterior subluxation and suggested need for urgent spinal fixation.
case_images: Lateral cervical spine X-ray taking with rigid neck collar 2nd day posttrauma in intensive care unit.
case_images: SNI-12-390-g002.jpg
case_images: PMC8488903_01_SNI-12-390-g002.jpg
case_images: F2
case_images: A review of the cervical spine CT scan showed double shadow which suggested CT motion artifact and 75% C3 on C4 anterior subluxation was not compatible with spontaneous respiration and limbs movement in the patient which necessitated request for supine lateral x-ray [Figure 2] of the cervical spine on posttraumatic day 2 which showed no fracture or malalignment.
case_images: Lateral cervical spine (a) flexion and (b) extension X-ray taking on the 18th day posttrauma.
case_images: SNI-12-390-g003.jpg
case_images: PMC8488903_01_SNI-12-390-g003.jpg
case_images: F3
case_images: He had erect cervical spine flexion and extension X-rays studies [Figure 3] on posttraumatic day 18 which showed normal bone alignment without radiological instability.