Acute and chronic vertebral body fractures
Fall. Back pain.
Lumbar Spine CT
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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.
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.