ABSTRACT

A 14-year-old male landed on his neck while doing backflips on a trampoline. He complained of neck, left shoulder, and arm pain with paresthesia. The lateral cervical spine radiograph demonstrated step-offs at C3-4 of both the anterior and posterior vertebral lines suggestive of ligamentous injury. A CT revealed a C4 compression deformity, grade 2 anterolisthesis, and a jumped C3/C4 facet. The patient underwent an open anterior cervical discectomy and fusion.