Burst fracture

Case contributed by Ahmed Abdrabou
Diagnosis certain

Presentation

Fall from height.

Patient Data

Age: 16 years old
Gender: Female
mri

L3 anterior and right lateral compression fracture with disrupted posterior border and large right posterolateral retropulsion compressing the thecal sac against the posterior neural arch and compromising the right lateral recess and adjacent right neural exit foramen. 

mri

Interpedicular distance widening on MRI.

At L2 = 23 mm

At L3 = 27 mm.

At L4 = 25 mm.

Case Discussion

Burst fracture resulting in lumbar spinal canal stenosis. 

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