Burst fracture
Diagnosis certain
Updates to Study Attributes
Findings
was changed:
Acute burst fracture of L1 with 6 mm of bony retropulsion. This abuts the anterior aspect of the conus which lies at L1 with no CSF anterior to the conus, however, CSF is apparent posterolaterally in the thecal sac.
No high signal within the cord to suggest cord oedema.
No abnormality at any other level.
Updates to Study Attributes
Findings
was changed:
L1 burst fracture with retropulsion. The retropulsed bone contacts the conus, but does not overtly compress it.
Updates to Study Attributes
Findings
was changed:
Follow up-up in external binder.
Updates to Case Attributes
Presentation
was changed:
History of fall from ladder, height of approximately 15-20 metres. Landed on foot and fallen backward. Tenderness over the lumbar spine.