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"You pay for it dearly the next day," he said, adding that Alaina shouldn't be affected because she was on stage briefly Tuesday.
"This is a very tight Roshe Run Mint Green Floral race tonight, but Lauren, with that song, you may have just won," Jennifer Lopez said after Alaina sang an emotional "Like My Mother Does," the last of her trio of tunes. EDT.
"I think she sang brilliantly tonight," said Jackson, who thought she outsang McCreery on two songs.
Alaina's other tunes were Carrie Underwood's "Flat on the Floor" and Pam Tillis' "Maybe It was Memphis," which was selected by former "Idol" winner Underwood.
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But the judge stopped short of predicting her victory.
When Alaina was asked if her finale performance had been at risk, he replied, "She says, 'Yes."'
Randy Jackson said backstage he thought Alaina's performance, not her vocal problem, would count in the voting.
but had been given "a lot of medicine" to be able to sing during the finale.
Judge Steven Tyler said it's not unusual for steroids to be used for a vocal cord injury.
Both are impressive singers for the show's "first ever, all country final," he said. "These kids are so young . I just go, 'Wow.' They embody what this whole show is about."
his own possible future single, "I Love You This Big," Montgomery Gentry's "Gone" and George Strait's "Check Yes or No," Strait's pick for the teenager.
Lauren Alaina, 16, of Rossville, Ga., required medical treatment for a vocal cord injury suffered during rehearsals for Tuesday's performance show. She soldiered on with three tunes, drawing high praise from the Fox TV show's judges.
'Idol' to crown winner in battle of country singers
that Alaina blew out one of her vocal cords Roshe Run Black And White Tumblr
"Going into tonight, Scotty definitely had an edge and he may still have a slight edge," Jackson said. But Alaina "was the best tonight."
LOS ANGELES Could the sympathy vote be a factor in the battle of the "American Idol" teenage country crooners?
After the show, Alaina gave reporters the silent treatment to protect her voice, with McCreery offering his services as spokesman while she scribbled answers on a memo pad or whispered to him.
The show started with host Ryan Seacrest bringing Dr. Shawn Nasseri on stage to explain Roshe Run Grey Junior
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