Flexion teardrop fracture at C4 consisting of a fracture of the anterior inferior portion of the vertebral body and a sagittally oriented fracture completely through the body. Bilateral non displaced C4 lamina fractures. Coronally oriented fracture of the anterior portion of the C5 vertebral body. Mild focal kyphosis is present at this level and there is mild bilateral C4-5 facet joint widening suggesting facet capsular disruption. The spinal canal remains relatively widely patent. Prevertebral haematoma tracks superiorly from the fracture site.