Fig 8. True-positive ligamentum flavum and false-positive interspinous soft tissues. Sagittal STIR image demonstrates disruption of the ligamentum flavum at multiple levels. Injury at the operative level C3–4 (arrow) was confirmed at surgery. On the image, there is also increased T2 signal intensity with stretching of the interspinous ligamentous complex; however, at surgery, this complex was intact.