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Hyper flexion tear-drop fracture-dislocation of C5 vertebra (severe axial loading with neck flexed) with small tear drop fracture anteriorly and large part against the cord and fractured left lamina of L5 as well as marked posterior displacement of the fractured C5 vertebra with significant cord compression and intra-substance haemorrhage demonstrating patchy hypointense T2 signal within the cord oedema (this implies poorer outcome).
Associated large preverterbal haematoma is seen extending from the skull base down to C5.
Bilateral facetal dislocation at C5/C6 with disruption of the posterior longitudinal ligament (PLL).