This case demonstrates hyperflexion injury of the cervical spine characterized by an anterior wedge fracture of C7 that is unstable given the associated posterior column ligamentous tear and sprain. Also, a right occipital condyle comminuted fracture/avulsion injury of the alar ligament attachment pushes against the vertebral artery. Further imaging with CTA (not shown) has not confirmed traumatic vascular injury of the right vertebral artery.