Anterior vertebral beaking secondary to trauma

Case contributed by Dr Jeremy Jones

Presentation

Axial loading trauma with resultant spinal deformity.

Patient Data

Gender: Male

Kyphosis at the thoracolumbar junction with loss of vertebral body height at multiple levels and anterior wedging.

Improvement in appearances at the thoracolumbar junction with apparent healing of the anterior wedging.

Further improvement in appearances with near-normalisation of vertebral body height after 5 years.

Case Discussion

Without the history of trauma and the followup imaging that demonstrates healing, the second of these studies has an anterior vertebral body beak that would prompt any pre-exam registrar to real off a list of differentials including Morquio syndrome. Clearly, trauma needs to be on the differential list as well.

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Case information

rID: 24323
Case created: 7th Aug 2013
Last edited: 16th Apr 2017
Tags: spine, trauma
Inclusion in quiz mode: Included

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