Chronic neck pain. MVA 9 years before.
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Chronic multilevel disc degenerative change of the midcervical spine. The craniocervical junction is abnormal.
The patient has a displaced odontoid fracture, presumably related to a single trauma incident 9 years before. Note the displacement of the anterior and posterior spinal lines. Patient made an uneventful recovery from internal fixation.
Still has neck pain though.