What is the most likely diagnosis?
- 54 year-old female with neck pain after fall
Frontal and Lateral Radiographs of Cervical Spine
- Hangman's Fracture
- Jefferson Fracture
- Unilateral Locked Facet
- Clay Shoveler's Fracture
- Retropharyngeal Abscess
Additional Image - Axial CT of Cervical Spine
Additional Images
Axial CT of Cervical Spine
Answer:
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3. Unilateral Locked Facet
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More (Click Discussion Tab)
Unilateral Locked Facet
Ligamentous Injuries
- Mechanism is flexion/distraction
- Injury is to the posterior spinal ligamentous complex
- Unstable in flexion; stable in extension
- If unrecognized, can lead to progressive neurologic damage
- Imaging Findings
- Widening of the interspinous distance
- Slight anterior subluxation of one vertebral body on another
- Widening of the facet joint
- Usually the posterior aspect
- Disk space narrower anteriorly than posteriorly