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  Indian J Med Microbiol
 

Figure 2: Images after the second injury (a) X-ray cervical spine (lateral) showing solid bony fusion between C4 and C5 with previous intact construct; (b) T2 sagittal and (c) images showing construct (green arrows), posterior longitudinal ligament injury and extensive cord signal changes with torn posterior longitudinal ligament and extruded disc fragment at C5–C6 level; (d) postoperative X-ray showing C4–C6 laminectomy with C5–C6 lateral mass screwsin situ in addition to previously placed plates and screws

Figure 2: Images after the second injury (a) X-ray cervical spine (lateral) showing solid bony fusion between C4 and C5 with previous intact construct; (b) T2 sagittal and (c) images showing construct (green arrows), posterior longitudinal ligament injury and extensive cord signal changes with torn posterior longitudinal ligament and extruded disc fragment at C5–C6 level; (d) postoperative X-ray showing C4–C6 laminectomy with C5–C6 lateral mass screws<i>in situ</i> in addition to previously placed plates and screws