Lumbar spine fractrue

Case contributed by Dr Andrew Dixon

Presentation

Fall from height.

Patient Data

Age: 60
Gender: Male

Trauma Radiology Course  Edinburgh June 11  |  Melbourne July 9  |  Video On-Demand August 1

X-ray

Lumbar Spine X-ray

Approximately 30% height loss of the L1 vertebral body anteriorly and slight focal kyphosis. 

CT

Lumbar Spine CT

Two column fracture of the L1 vertebral body involving superior end-plate compression and mild retropulsion of the posterior vertebral body margin. Associated horizontally oriented fracture of the T12 spinous process without obvious widening of the interspinous distance at T12-L1 to suggest posterior ligamentous disruption. 

Case Discussion

L1 vertebral burst type fracture and T12 horizontally oriented spinous process fracture.  

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Case information

rID: 31848
Published: 25th Nov 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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