Fall from a height. Pain over L4 region. Fracture?
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CT LUMBAR SPINE
Fracture of the L3 vertebral body with 8mm of fragment retropulsion into the spinal canal.
Spinal canal 5mm at this level vis-s-vis 15mm at the normal levels.
Twenty percent loss of vertebral body height. No involvement of the posterior elements.
The remainder of the vertebra are normal.
Typical appearances of a burst fracture with the usual mechanism of injury of falling from a significant height.
In some parts of the world, such as this case, a very common clinical history is one of an industrial injury in a construction worker.