There is a fracture through bilateral pedicles of C2 with the fracture line extending through the right foramen transversarium and right intertubercular lamina. On the left, the fracture line involves the posterior tubercle of the left transverse process. The medial aspect of the fractured right pedicle is displaced medially into the spinal canal contacting but not significantly effacing the thecal sac. This fracture is associated with subtle widening of the C2/3 facet joints greater on the left, suspicious for bilateral facet joint subluxation. There is an associated haematoma that measures up to 3 mm in maximum depth that elevates the posterior longitudinal ligament and tectorial membrane.
Opacity at the C3/4 intervertebral disc level with resulting mild compression of the cervical cord may be due to haematoma or disc protrusion.
No other cervical spine fracture is identified. There is no significant prevertebral haematoma.