Despite Vocal Struggles, Lauren Alaina Nails Final 'Idol' Performance

The singer lost her voice right before last night's show -- but, after receiving medical treatment, she was back on her game!

American Idol's final face-off between Lauren Alaina and Scotty McCreery was almost over before it began. In a nail-biting situation, the 16-year-old southern belle needed emergency medical treatment to treat her laryngitis just before taking the stage at the Nokia theater Tuesday night.

Third-place finisher Haley Reinhart was ready and waiting on deck to jump in and compete against McCreery in the event that Lauren was too ill to sing. But Alaina was treated by a medic for the blown vocal cord and prepped herself for the finale.

"I'm here, I'm ready to sing and I'm fine," Alaina told host Ryan Seacrest at the beginning of the show. "Don't worry about it."

And there was certainly nothing to worry about. Alaina came out of the gates with three stellar performances, singing "Flat on the Floor," "Maybe It Was Memphis" and what will be her new single if she wins, "Like My Mother Does."

But country boy McCreery, 17, was no slouch either. The wholesome crooner brought the crowd to their feet with renditions of "Gone," "Check Yes or No" and his single-to-be, "I Love You This Big."

After all the singing was done, judges Steven Tyler, Randy Jackson and Jennifer Lopez commended both young contestants, but all three seemed to be leaning in Alaina's favor. After performing the sentimental ode to her mom, Tyler said Lauren won it "hands down." Lopez added, "With that song, you may have just won." 

The two-hour, all-star American Idol finale airs tonight at 8 p.m. on Fox. Who do you think will take the cake?

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