This young woman was the driver in a high speed MVA. She was restrained by a seatbelt, & she sustained mostly lower limb orthopaedic injuries. She was initially distressed by pain, but after analagesia was more settled & denied any midline spinal tenderness.
Would you be happy to clear her C-spine?
Lateral C-spine image shows fracture line through base of PEG w posterior displacement of PEG in relation to C2 body (ie. unstable)
Open mouth PEG-view shows this more clearly.
Always check each view thoroughly, & ensure they are of adequate quality to answer the question of C-spine clearance.