Fig. 2.

A 71-year-old woman presented after an automotive accident with an incomplete spinal cord injury (American Spine Injury Association Impairment Scale [AIS] grade B). (A, B) A distractive injury is identified at C6–7 in the sagittal CT scan reconstruction (white arrow). The Subaxial Injury Classification score was 3 points (distractive injury) + 2 points (discoligamentous complex injury) + 3 points (incomplete neurologic deficits) = 8 points—surgical treatment was performed. Postoperative sagittal (C) and 3-D reconstruction (D) CT scans showing reestablishment of cervical alignment and facet joint congruence, with lateral mass screws at C5 and C6 and pedicle screws at C7 and T1. After 6 months of follow-up, she had some neurologic improvement (AIS grade C).