Burst fracture

Case contributed by Ahmed Abdrabou
Diagnosis certain

Presentation

Fall from height.

Patient Data

Age: 16 years old
Gender: Female
mri
This study is a stack
Sagittal
T1
This study is a stack
Sagittal
T2
This study is a stack
Sagittal
STIR
This study is a stack
Axial
T1
This study is a stack
Axial
T2
This study is a stack
Coronal
T2
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Info

L3 anterior and right lateral compression fracture with disrupted posterior border and large right posterolateral retropulsion compressing the thecal sac against the posterior neural arch and compromising the right lateral recess and adjacent right neural exit foramen. 

mri
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Info

Interpedicular distance widening on MRI.

At L2 = 23 mm

At L3 = 27 mm.

At L4 = 25 mm.

Case Discussion

Burst fracture resulting in lumbar spinal canal stenosis. 

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