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Question 19: Cervical Spine InjuryIn the context of trauma, which of the following cervical spine fractures is considered most unstable?%u2022 Clay-shoveler's fracture%u2022 Jefferson fracture%u2022 Hangman's fracture%u2022 Anterior wedge fracture%u2022 Isolated transverse process fractureAnswer: Hangman's fractureExplanation: The Hangman's fracture (bilateral C2 pars interarticularis fracture) is considered highly unstable due to the potential for significant displacement and neurological compromise. It requires immediate immobilization and often surgical intervention.