Chalk-stick cervical spine fracture (DISH / OPLL): post-operative
Motor vehicle accident. Neck pain. Post operative.
CT cervical spine
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Extensive bridging osteophytes anteriorly as well as extensive ossification of the posterior longitudinal ligament. The facet joints and spinous processes do not appear ankylosed.
A fracture through the C5/6 disc level is present, which has been fused with posterior rods held in place with lateral mass / transpedicular screws.
This case demonstrates features of both DISH and OPLL, a well recognised association.