A man was brought to the emergency department after a high-speed motorbike collision

A 19-year-old man was brought to the emergency department after a high-speed motorbike collision.

Question

A 19-year-old man was brought to the emergency department after a high-speed motorbike collision. The patient had a score of 3 on the Glasgow Coma Scale (possible scores range from 3 to 15, with higher scores indicating better function), and his blood pressure was 70/35 mm Hg. He did not respond adequately to advanced resuscitation; results of a subsequent emergency laparotomy were normal. After the patient’s condition was further stabilized in the intensive care unit, computed tomography of the cervical spine taken ,What is the diagnosis?

Atlanto-occipital dislocation
Atlanto-axial subluxation
Pillar fracture
Spinous process avulsion
Wedge fracture

 

 

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