Anterior vertebral beaking secondary to trauma

Case contributed by Dr Jeremy Jones

Presentation

Axial loading trauma with resultant spinal deformity.

Patient Data

Gender: Male
Modality: X-ray

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

Modality: X-ray
Modality: X-ray

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

Modality: X-ray

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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