Chance type fracture
Involved in a motor vehicle accident presenting with severe back pain and bilateral lower limb weakness. Traumatic grade 1 anterior listhesis of L2 on L3 on plain films.
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There is grade 2/3 anterolisthesis of T12 on L1 with associated severe spinal stenosis and cord compression at this level. There is also high T2 signal involving T12 and L1 vertebral bodies consistent with marrow oedema. There is also high T2 signal in the posterior (pedicle, lamina) consistent with fractures. Associated soft tissue oedema.
There is a haematoma peeling the anterior longitudinal ligament, anterior to the L1 and L2 vertebral bodies.
No evidence of aortic injury on this study.
Findings are consistent with Chance type fracture