88 year old female with pain. Evaluate for type II dens fracture. Again seen is a type II dens fracture better evaluated on recent CT and MRI study. There is mild widening of the fracture fragment on the extension view. The fracture fragment abuts the inferior aspect of the clivus. No prevertebral soft tissue swelling. Multilevel severe degenerative changes of the cervical spine most pronounced at C5-C6. There is grade 1 anterolisthesis of C4 on C5.
Type II dens fracture better evaluated on recent CT and MRI study. The fracture fragment abuts the inferior aspect of the clivus and there is mild widening of the fracture fragment on the extension view.