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  Indian J Med Microbiol
 

Figure 1: Computed tomography and magnetic resonance image images before 1st surgery. (a and b) Computed tomography cervical spine sagittal and axial view revealing characteristic findings of ankylosing spondylitis with ankylosis of the disc spaces and facet joints evident by ossification of the anterior longitudinal ligament (ALL)/posterior longitudinal ligament (PLL) and facet joints. Injury is a distraction hyperextension with disruption of the discoligamentous complex (DLC), widening of the disc space and the facet joints. (c and d) Computed tomography cervical spine sagittal and axial view with cross-section more lateral at the facet joint revealing and disrupted and near jumped facets with evident subluxation. (e) Magnetic resonance image of the cervical spine T2-WI sagittal section revealing a C5-6 hyperextension distraction injury involving the DLC with disruption of the ALL, PLL, PLC and ligamentum flavum with anterolisthesis of C5 on C6. (f) Magnetic resonance image axial section through the C5-C6 disc space revealing mild hyperintense changes within the cord with stenosis and effacement of thecal space and right VA dissection

Figure 1: Computed tomography and magnetic resonance image images before 1<sup>st</sup> surgery. (a and b) Computed tomography cervical spine sagittal and axial view revealing characteristic findings of ankylosing spondylitis with ankylosis of the disc spaces and facet joints evident by ossification of the anterior longitudinal ligament (ALL)/posterior longitudinal ligament (PLL) and facet joints. Injury is a distraction hyperextension with disruption of the discoligamentous complex (DLC), widening of the disc space and the facet joints. (c and d) Computed tomography cervical spine sagittal and axial view with cross-section more lateral at the facet joint revealing and disrupted and near jumped facets with evident subluxation. (e) Magnetic resonance image of the cervical spine T2-WI sagittal section revealing a C5-6 hyperextension distraction injury involving the DLC with disruption of the ALL, PLL, PLC and ligamentum flavum with anterolisthesis of C5 on C6. (f) Magnetic resonance image axial section through the C5-C6 disc space revealing mild hyperintense changes within the cord with stenosis and effacement of thecal space and right VA dissection