for fifteen minutes. The right side of the head and face was badly cut and three ribs were broken, but his chief complaint was pain in the back of the neck. He was unable to turn his head in any direction on account of the pain in the neck. He was taken to a hospital, where he was told that his neck was sprained. He was twelve days in bed, being treated for the fractured ribs and other injuries, though his chief complaint was pain in the neck. No roentgenogram was taken at this time. Three

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... later, twenty-two days after the injury, the pain persisting, a roentgenogram was taken, which showed a dislocation backward of the fifth cervical vertebra with fracture of the body of the fourth cervical. Neurologic exam¬ ination at this time was entirely negative. There was no impairment of motility or sensation and no alteration of the deep or superficial reflexes. The patient carried his head in a peculiar stiff manner, though he could move it without much discomfort. A plaster collar was applied and he is still under observation. 315 West Ninety-Seventh Street.