Preschooler with neck pain after motor vehicle accident

3D CT of non-fusion of the anterior and posterior arches of the C1 vertebral body and hypoplasia of the dens
Anterior (left) and posterior (right) views of a 3D CT without contrast of the cervical spine show non-fusion of the anterior and posterior arches of the C1 vertebral body and hypoplasia of the C2 vertebral body.

The diagnosis was congenital developmental anomaly of the cervical spine in the form of non-fusion of the anterior and posterior arches of the C1 vertebral body and hypoplasia of the dens.