C-spine - C4 and C6 vertebral body fracture - Lateral
- Loss of height of the C4 vertebral body and loss of alignment at C4/5 indicates a fracture
- A second fracture is seen at the anterior/inferior corner of the C6 vertebral body
C-spine - C5 and C7 vertebral body fractures
- Fractures are seen at both C5 and C7
- There is loss of alignment at several levels
C-spine - C3 and C4 vertebral body fractures
- These 'flexion teardrop' fractures look relatively small, but each should be considered highly unstable
- The fracture at C3 is nearly obscured by the immobilisation device
- Care must be taken not to overlook these small, clinically important injuries
- If a technically inadequate view shows a fracture - as in this case - then CT is used to complete imaging of the cervico-thoracic junction