Axis peg fracture (type 3) and atlas lateral mass (type 4) fracture

Discussion:

C2 odontoid process fractures should be graded I, II or III (Anderson and D'Alonzo classification) as the grading indicates the risk of non-union and hence the need for operative management.

Always look for upper rib fractures and apical pneumothorax on a C-spine trauma CT.

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