Acute and chronic vertebral body fractures

Case contributed by Dr Andrew Dixon

Presentation

Fall. Back pain.

Patient Data

Age: 85
Gender: Female
CT

Lumbar Spine CT

Subtle acute fracture through the inferior portion of the T11 vertebral body with clear cortical buckling seen anteriorly. Old fractures of the T12 and L1 inferior vertebral endplates. An acute on chronic component to the T12 fracture is difficult to exclude. Degenerative anterolisthesis of L4 on L5 is seen. 

Case Discussion

This case demonstrates the differences between acute and chronic vertebral body compression fractures on CT, emphasising the cortical buckling and subtle trabecular impaction seen with acute fractures. 

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Case information

rID: 31788
Case created: 28th Oct 2014
Last edited: 27th Apr 2017
System: Spine
Inclusion in quiz mode: Included

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