- Flexion injury: A teardrop fracture is an indicator of an anterior flexion force injury with a resulting fracture of the anterior inferior corner of the vertebral body. It commonly occurs below the axis, but occasionally it can occur at C2.
- Associated interspinous and facet disruption: The injury includes disruption of associated facet space; it is usually visible as widening on lateral films. It includes widening of the interspinous space and may include avulsion fractures of the spinous processes.
- Disk injury: Disk space narrowing and/or angulation may be apparent on plain x-ray.
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