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[Music] the c3 c4 and c5 vertebrae form the mid section of the cervical spine near the base of the neck injuries to the nerves and tissues relating the cervical region are the most severe of all spinal cord injuries because the higher up in the spine and injury occurs the more damage that is caused to the central nervous system depending on how severe the damage to the spinal cord is the injury may be noted as complete or incomplete c3 vertebrae the c2 to c3 junction of the spinal column is important as this is where flexion and extension occur flex ian is the movement of the chin towards the chest and extension is the backward movement of the head patients with spinal cord damage at the c3 level will have limited mobility in both their flexion and extension symptoms of a c3 level spinal cord injury symptoms of a spinal cord injury corresponding to c3 vertebrae include limited range of motion loss of diaphragm function requirement of a ventilator for breathing paralysis in arms hands