Presentation
Fall off horse.
Patient Data
Age: 50 years
Gender: Female
From the case:
Burst fracture - thoracic spine
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Comminuted burst fracture T6. Anterior 1/3 of body is severely displaced anteroinferiorly and to the right, lying anterior and to the right of the upper body of T7. Moderately large posterior mediastinal/paravertebral hematoma.
Posterior body is retropulsed with narrowing of spinal canal by approximately 30%. No obvious intracanal hemorrhage.
Subtle undisplaced fractures of posterior aspects of 6th ribs bilaterally.
Case Discussion
Unstable fractures should be communicated clearly to the referrer (preferably verbally as well as in the conclusion of the report).
The patient subsequently went to have internal fixation of her thoracic spine.
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