Unstable three column burst fracture of C5 with 7 mm of retropulsion into the canal and posterior widening of the C5/6 facet joints. The spinal cord is compressed with oedema and central signal loss consistent with hemorrhagic contusion.
PLL is intact posterior to C4/5, but partially torn at C5/6.
ALL is partially torn anterior to C5 with pre-vertebral high signal extending
Vertebral arteries are capacious with normal flow voids.
Normal atlanto-axial and atlanto -occipital alignment and joints with intact tectorial membrane and cruciate ligaments.