MRI features are consistent with flexion teardrop fracture of C5. Flexion teardrop fractures represent a fracture pattern occurring in severe axial/flexion injury of the cervical spine. It is an unstable hyperflexion cervical spine injury associated with cord injury and quadriplegia. It most commonly occurs at the mid/lower cervical spine, specifically at C4, C5, or C6. This should not be confused with extension teardrop fractures, which tend to occur higher within the cervical spine and are considered less severe injuries.