Figure 1 (A) Preoperative image showing neck swelling and subcutaneous bruising. (B) Preoperative CT scan reveals anterior and posterior osteophytes on the C5 and C6 vertebrae (white arrows), with widening of the intervertebral space (blue arrow). (C) Intraoperative image displaying complete tear of the C5 and C6 disc-ligament complex and widening of the intervertebral space (arrow). (D) Postoperative image after fusion fixation of the C5 and C6 vertebrae. (E, F) Intraoperative frontal and lateral radiographs following cervical fusion. (G, H) Frontal and lateral radiographs of the cervical spine at 3 months postoperatively show proper alignment of the internal fixation and successful interbody fusion of the C5 and C6 vertebrae. (I, J) Postoperative cervical hyperflexion and hyperextension films demonstrating stable cervical alignment.