Cervical spine fracture - chalk stick
Fall with headstrike.
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Fractured anterior osteophyte extending into the C6 vertebral body and posterior elements. Increased cervical lordosis. Extensive ossification of ALL and PLL with multilevel fusion.
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When multilevel fusion is present, minor trauma can result in severe fractures. Spinal cord damage is also more common in these patients.
Colloquially, this injury is known as a "chalk stick" or "carrot stick" fracture. These classically occur in ankylosing spondylitis but can occur in other settings such as DISH +/- OPLL, which may be the underlying diagnosis in this case.