Cervical spine fracture - chalk stick


When multilevel fusion is present, minor trauma can result in severe fractures. Spinal cord damage is also more common in these patients. 

Colloquially, this injury is known as a "chalk stick" or "carrot stick" fracture. These classically occur in ankylosing spondylitis but can occur in other settings such as DISH +/- OPLL, which may be the underlying diagnosis in this case.