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Fig. 1D. —Radiographic and CT images of 300-lb (135-kg) quadriplegic 29-year-old man after motor vehicle crash. Sagittal CT reconstructed image shows retropulsed fragment at C6 (arrow). In addition, there is anterolisthesis of C4 on C5 due to associated unilateral jumped facet at that level. Note different appearances of spinous processes from C4 and above, caused by rotation. Total time for CT examination in this patient: 13 min.

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