Hyperflexion-compression fracture of the 1st thoracic vertebra

Case contributed by Dr Roberto Schubert

Presentation

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.

Patient Data

Age: 60
Gender: Female

Unstable burst fracture with osseous material protruding into the spinal canal and the right neuroforamen.

Case Discussion

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.

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Case Information

rID: 15440
Case created: 17th Oct 2011
Last edited: 30th Oct 2015
Inclusion in quiz mode: Included

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