The described imaging appearances are sequelae of antecedent trauma. Flexion teardrop fracture is an unstable injury and patient needs urgent opinion from neurosurgeon / spinal orthopedics.

It results due to flexion and vertical axial compression of the spine. Such mechanical force, as sequelae of antecedent trauma, leads to a fracture of the anteroinferior aspect of the vertebral body with anterior displacement of fracture fragment which resembles a teardrop.

Case courtesy: Dr. Jaideep Darira (FRCR, FCPS, EDIR)