Demographics:
66 years old, Female
Indication:
Trauma
Findings
- Small minimally displaced corner ("teardrop") fracture involving the anteroinferior endplate of C2
- Nondisplaced fracture through the anterior tubercle of the left C2 transverse process extending into the transverse foramen
- Prominent central disc herniation at C2-C3 which effaces the ventral CSF and contacts and mildly deforms the ventral cord
- Multilevel cervical spondylosis, most pronounced from C4-C5 through C7-T1
- Atherosclerotic calcification at the common carotid artery bifurcations
Diagnosis
Teardrop fracture
Sample Report
Acute minimally displaced corner ("teardrop") fracture involving the anteroinferior endplate of C2. Consider MRI to further assess for ligamentous injury.
Acute nondisplaced fracture through the anterior tubercle of the left C2 transverse process extending into the transverse foramen. Recommend neck CTA to assess for vascular injury.
Prominent central disc herniation at C2-C3 which effaces the ventral CSF and contacts and mildly deforms the ventral cord. Though age-indeterminate, this could represent an acute traumatic disc herniation, which could be further assessed with noncontrast C spine MRI.
No traumatic malalignment.
Discussion