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Age: 23

Sex: Male

Indication: Trauma

Save ("V")

Case #17


Findings

  • Bilateral jumped facets at C5-C6 with a displaced fracture of the posterior aspect of the right C5 inferior articular facet and minimally displaced fractures through the posterior aspect of the C5 vertebral body and through the anterior wall of the right C5 transverse foramen
  • Hyperattenuating expansion of the ventral epidural space most pronounced at C5 and extending superiorly to the level of C2
  • Traumatic kyphotic angulation at C5-C6
  • Prevertebral edema


Diagnosis

  • Jumped facets

Sample Report

Acute traumatic fracture-subluxation at C5-C6 with bilateral jumped facets, severe anterolisthesis, and focal kyphosis concerning for extensive ligamentous injury as well as possible cord injury, which can be further assessed with MRI.

Displaced fracture of the posterior aspect of the right C5 inferior articular facet and minimally displaced fractures through the posterior aspect of the C5 vertebral body and through the anterior wall of the right C5 transverse foramen. Recommend neck CTA to evaluate for vascular injury.

Ventral epidural hematoma, largest at C5 and extending superiorly to the level of C2.


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