There are levels of restricted motion (hyposegmentation anomalies, operative fusions or acquired autofusions)   [Yes/No]

There are abnormal developmental anomalies affecting the C1 ring, C2 pars, and the dens   [Yes/No]

There is evidence of chronic arthropathy disorders affecting the spinal canal width (PLL traction spurs, OPLL, DISH, CPPD)   [Yes/No]

There is evidence of underlying inflammatory arthropathy possibly increasing or decreasing spine mobility (JRA, RA, psoriatic arthritis, etc.)   [Yes/No]

There is underlying bone pathology not related to trauma, but which could have a pathologic fracture   [Yes/No]

  [Yes/No]

There is abnormal widening of dens tip to basion distance (or avulsion fracture of the clival tip) indicating apical ligament disruption   [Yes/No]

There is abnormal malalignment of the cervical canal with the foramen magnum   [Yes/No]

There is an abnormal X-lines indicating the dens is abnormally displaced   [Yes/No]

There is abnormal widening of the atlanto-axial distance indicating transverse ligament disruption   [Yes/No]

There is lilting of dens relative to C2 and/or avulsion fracture off the C1 ring indicating alar ligament disruption   [Yes/No]

There is widening of one or both occipital condyles to C1-lateral mass joint space widths indicating occip-cervical injury (2x average width = ligamentous injury)   [Yes/No]

There is widening of the width of C1-2 facet spaces indicating capsular injury (2x average width = ligamentous injury)   [Yes/No]

There is widening of the width of one or more uncovertebral joints indicating disc injury   [Yes/No]

There is widening of the width of C2-3 facet spaces consistent with facet capsular injury (2x average=injury)   [Yes/No]

There is fracture of either occipital condyles; include assessment of an occipital bone fracture extending into the condyle   [Yes/No]

There is a fracture of the C1 ring, or there is bilateral translational offset of the lateral masses of C1 relative to C2 (in AP plane) also consistent with a C1 ring fracture (or Jefferson's Fx) even if the fracture line is not discernible   [Yes/No]

There is fracture of the dens (3 types)   [Yes/No]

There is abnormal cortical rim fracture or medullary buckle or compression in the C2 body indicating fracture, especially at subdental synchondrosis   [Yes/No]

There is compressive buckle or fracture of the anterior vertebral body beginning at the fulcrum   [Yes/No]

There is compressive fracture of one side of the vertebral body indicating a lateroflexion vector   [Yes/No]

There is widening of posterior disc space width (PLL tear)   [Yes/No]

There is a posterior vertebral body corner avulsion fracture (Sharpey fiber insertion site)   [Yes/No]

There is malalignment & widening of the facet joint(s)    [Yes/No]

There is fracture(s) of the articular processes   [Yes/No]

There is widening of the interlaminar & interspinous distances (2x average width = ligamentous injury)   [Yes/No]

There is compressive buckle or fracture of the posterior vertebral arch or pedicle(s) beginning at the fulcrum   [Yes/No]

There is displacement of bone fragments into the spinal canal or foramen transversarium   [Yes/No]

There is a compressive articular body fracture(s) (compression or burst)   [Yes/No]

There is malalignment of the facet joint(s) surfaces   [Yes/No]

There is widening of anterior disc space width (ALL tear)   [Yes/No]

There is a anterior vertebral body corner avulsion fracture (Sharpey fiber insertion site)   [Yes/No]

There is narrowing of the interlaminar & interspinous distances   [Yes/No]

There is evidence of a vertebral body spiral fracture consistent with a rotary injury   [Yes/No]

There is significant change in the degree of spine rotation at one motion segment based on the position of the articular pillars   [Yes/No]

There is significant change in the degree of spine rotation at one motion segment based on the width of the "interlaminar clear zone"   [Yes/No]

There is increased width of one or more unilateral uncovertebral joints to suggest a rotary discal injury   [Yes/No]

There is unilateral articular pillar injury on the same side as the widened uncovertebral joint   [Yes/No]

There is compression injury to the vertebral bodies with buckling, comminuted fractures or actually burst fractures   [Yes/No]

There is compression injury to the central portion of one or more vertebral end-plates   [Yes/No]

There is compressive hyperdensity in the medullary trabecular bone   [Yes/No]

There is compression on one side of one or more vertebral bodies indicating a lateroflexion mechanism   [Yes/No]

There is a single level transsection injury to the spine causing a combination of fractures, disc,/articular capsular ligament tears   [Yes/No]

There is underlying spinal fusion predisposing to shear injuries (i.e. ankylosing spondylitis, JRA, long segment spinal operative fusion)   [Yes/No]

There abnormal translational spinal alignment (anterolisthesis, posterolisthesis, or lateral listhesis)   [Yes/No]

There is focal spinal angulation (focal kyphosis-gibbus deformity)   [Yes/No]

There are injuries at more than one level   [Yes/No]

There is evidence of injury vectors with more than one mechanism   [Yes/No]

The columns of stability exceed more than one, indicating the spine is potentially unstable   [Yes/No]

Bone fragments are retropulsed into one or more neural foramina, indicating the nerve root or nerve root sleeve may be at risk   [Yes/No]

Bone and/or disc fragments are retropulsed into the spinal canal, indicating the spinal cord is at risk   [Yes/No]

Bone and/or disc fragments are retropulsed into the foramen transversaria raising the risk of vertebral arterial injury   [Yes/No]

There is swelling in the carotid sheath raising the risk of cartoid arterial injury   [Yes/No]

No other significant additional imaging findings are present.   [Yes/No]