Burst fracture

Case contributed by Ian Bickle
Diagnosis certain

Presentation

History of fall from ladder, height of approximately 15-20 meters. Landed on foot and fallen backward. Tenderness over the lumbar spine.

Patient Data

Age: 20 years
Gender: Male
ct
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Axial
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Sagittal
bone window
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Coronal
bone window
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Info

Acute burst fracture of L1 with 6 mm of bony retropulsion. This abuts the anterior aspect of the conus which lies at L1 with no CSF anterior to the conus, however, CSF is apparent posterolaterally in the thecal sac.

No high signal within the cord to suggest cord edema.

No abnormality at any other level.

mri
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Sagittal
T1
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Sagittal
T2
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Sagittal
STIR
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Axial
T2
This study is a stack
Axial
T1
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Info

L1 burst fracture with retropulsion. The retropulsed bone contacts the conus but does not overtly compress it.

x-ray
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Info

Follow-up in external binder.

Case Discussion

Typical appearances and 3 modality appearances of a burst fracture.

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