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Review Question - QID 214128

QID 214128 (Type "214128" in App Search)
A 55-year-old male presents with severe neck pain and quadriparesis after falling off a 2-story balcony while intoxicated. The patient is GCS 9 on presentation with notable weakness of the bilateral upper and lower extremities. Current imaging is shown in figure A. The decision was made to send the patient for a cervical spine MRI prior to attempted closed reduction and surgical fixation. If a closed reduction is planned, which MRI finding would require immediate surgical treatment rather than closed reduction?
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