Perched facet joints and wedge fracture

Case contributed by Heba Abdelmonem
Diagnosis certain

Presentation

Trauma.

Patient Data

Age: 30
Gender: Male

The inferior facets of T11 are perched on the superior facets of T12 with pending dislocation. The facet joints at T11/12 on the axial images are "bare" and don't retain the normal cupped appearance. Secondary widening of the interspinous distance, as well as the intervertebral foramina. Compression fracture with anterior wedging of the T12 vertebral body. Minimal anterior wedging with superior cortical buckling of T11.

Case Discussion

T11/T12 bilateral perched facet joints with T11 and T12 wedge fractures.

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