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. Oblique fracture extending into the right side of the L3 spinous process
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.