Sagittal CT of the cervical spine shows a distraction fractu | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

Sagittal CT of the cervical spine shows a distraction fracture of the C6 vertebral body. The arrow points to a sliver of bone from the inferior endplate of CT. There is widening of the space between C6 and C7. This type of spine injury is associated with cord transection and subsequent quadriplegia or death. #FridayQuizDay #Quiz #FridayQuiz

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Sagittal (image 1 and 2) and axial (image 3) CT of the cervical spine shows a jumped facet (arrowhead) at C6 with fracture of the posterior portion of the C6 vertebral body (arrow) and anterolisthesis of C6 on C7. On the axial image, the jumped facet appears as two facets on a single image. This has been likened to upside down hamburger buns. A jumped facet results from forced flexion of the cervical spine. It represents a severe injury that is often associated with spinal cord injury. It is treated with emergent closed reduction followed by urgent surgical stabilization.](https://app.figure1.com/case-detail/0a473915-9616-4e65-af68-225755a6969e)

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