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  Indian J Med Microbiol
 

Figure 1: Images of a 34-year-old male patient. The patient had been operated 6 years before presentation. A C3–C4 and C4–C5 discectomy with anterior plating had been successfully performed. (a) T2-weighted magnetic resonance imaging showing the anterior fixation from C3 to C5 level. There is no evidence of compression at C1–C2 or C2–C3 levels. (b) Computed tomography scan with the head in flexion showing C3–C4 and C5 fusion and anterior plate. There is no evidence of C1–C2 or C2–C3 instability. (c) Computed tomography scan with the head in extension. The odontoid process shows minimal realignment when compared to the image on flexion. (d) Sagittal cut of computed tomography through the facets showing Type 3 atlantoaxial facetal instability. (e) Postoperative T2-weighted magnetic resonance imaging. (f) Reconstruction of computed tomography scan image showing atlantoaxial and C2–C3 fixation implants

Figure 1: Images of a 34-year-old male patient. The patient had been operated 6 years before presentation. A C3–C4 and C4–C5 discectomy with anterior plating had been successfully performed. (a) T2-weighted magnetic resonance imaging showing the anterior fixation from C3 to C5 level. There is no evidence of compression at C1–C2 or C2–C3 levels. (b) Computed tomography scan with the head in flexion showing C3–C4 and C5 fusion and anterior plate. There is no evidence of C1–C2 or C2–C3 instability. (c) Computed tomography scan with the head in extension. The odontoid process shows minimal realignment when compared to the image on flexion. (d) Sagittal cut of computed tomography through the facets showing Type 3 atlantoaxial facetal instability. (e) Postoperative T2-weighted magnetic resonance imaging. (f) Reconstruction of computed tomography scan image showing atlantoaxial and C2–C3 fixation implants