Burst fracture

Case contributed by G Balachandran
Diagnosis almost certain

Presentation

Paraplegia following trauma.

Patient Data

Age: 25 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

mri

L2 compression fracture with retropulsion of posterior fragment markedly indenting on the cauda equina. Fixation of L1 and L3 vertebral bodies with screws.

Case Discussion

Initial MR images (not shown) showed subtotal collapse of L2 body with cord compression. Our surgeons transfixed L1 and L3 bodies in order to immobilize L2 from moving further backwards.

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