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An odontoid fracture with a "jumped facet" indicates an odontoid process fracture in the second cervical vertebra (C2) along with a dislocated facet joint, where the superior facet of one vertebra has moved forward and is locked on top of the inferior facet of the vertebra above it. This combination signifies significant atlantoaxial instability (instability at the C1-C2 joint), a severe injury that often results from high-energy trauma and requires complex treatment to stabilize the cervical spine and prevent spinal cord injury. In this context, the inferior articular process of C1 (the atlas) locks anteriorly with the superior articular process of C2 (the axis). The combination of an odontoid fracture and a jumped facet causes severe instability at the C1-C2 (atlantoaxial) level of the neck. This significant instability can lead to spinal cord compression or injury, resulting in neurological problems such as weakness, numbness, or other dysfunctions. Due to the high degree of instability, surgical stabilization is often required to realign the bones and fuse the C1-C2 joint to ensure proper healing and prevent further damage. #dranilkothiwala #anatomy #bestneurosurgeoninjaipur #spinesurgery