Chilvers G, et al. – Aim of this study was to present the pattern of cervical spine fractures in adult major trauma and identify computed tomography (CT) parameters that can predict significant ligament injury when fractures are absent; to define the normal range for parameters used; and identify common variations due to position of cervical immobilisation in a trauma patient. It was showed that when fractures are absent, signs of significant ligament injury on CT at the craniocervical junction were increased basion dens interval and widened facet joints. As evidence accumulates, >50% subluxation of a facet joint and obscured posterior paraspinal fat pad are indicators of significant ligament injury in the subaxial cervical spine.