CT
Complex fracture-dislocation of C6. There is a multipart fracture of the left lateral process involving the transverse foramen, facet articulations and lamina, with a spinous process and right lamina fracture.
There is >100% anterior translation of C6 on C7 (it is never desirable to see two vertebral bodies on the same axial plane). The right facet is anteriorly translated, perched on the posterior vertebral cortex of C7. The left facet has a complex derangement lying perpendicular to the joint, perched on C7 and separated from C6.
The other spinal levels are normal (whole spine imaged, not included for upload).
Distorted and narrowed vertebral canal.
Anterior paraspinal haematoma but no evident epidural haematoma on CT.