Unilateral or bilateral?

644 - C-spine dislocation

In case you didn’t encounter another trauma today!

You are working in a rural hospital. A 55-year-old female was brought to the ED by EMS. She was found at home, lying on the ground, in front of the stairs. She is vitally stable but unconscious (GCS: E1, V:2, M:3). You applied trauma surveys. After inline stabilization, you intubated the patient. The facility does not have a CT scan, and you order standard X-ray series for trauma including c-spine.

What are abnormal findings in this x-ray?

Facet dislocation? Unilateral or Bilateral?

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