Hyperflexion-compression fracture of the 1st thoracic vertebra
The patient hit her head on a cruise ship in rough seas 3 weeks ago and complained of aggravating neck pain, numbness and weakness in her right hand.
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Unstable burst fracture with osseous material protruding into the spinal canal and the right neuroforamen.
If you look carefully at the T1 and STIR images, you must suspect an injury of the right interarticular portion and inferior articular process of T1, that would mean involvement of all 3 columns. CT is mandatory for treatment planning in this situation.