Case advice: Verterbral artery injury

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19 yo M involved in MVC 7/5. Found on workup to have C4 fx involving the 
inferior aspect of the vertebral body as well as the lateral mass of the L 
side. The vertebral artery demonstrates no flow distal to this fx but also 
shows no extravasation. A left paracentral disk protrusion and possible 
small bony fragment is seen at the C4-5 level extending toward the foramen 
compromising the exiting L C5 nerve root. MRA confirms no flow in the L 
vertebral artery. He has no neurologic deficits at this time. Strength is 
maintained in all cervical root levels at this time.
What next?
Coil the L vertebral?
Anticoagulate the patient?
Leave him alone?
Any radiographic followup necessary?

Thanks,
jcw
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