T6 burst fracture

Case contributed by RMH Core Conditions

Presentation

Fall off horse.

Patient Data

Age: 50
Gender: Female
CT

Comminuted burst fracture T6. Anterior 1/3 of body is severely displaced anteroinferiorly and to the right, lying anterior and to the right of the upper body of T7. Moderately large posterior mediastinal/paravertebral haematoma.

Posterior body is retropulsed with narrowing of spinal canal by approximately 30%. No obvious intracanal haemorrhage.

Subtle undisplaced fractures of posterior aspects of 6th ribs bilaterally.

Case Discussion

Unstable fractures should be communicated clearly to the referrer (preferably verbally as well as in the conclusion of the report). 

The patient subsequently went to have internal fixation of her thoracic spine. 

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Case information

rID: 30238
Case created: 27th Jul 2014
Last edited: 28th Apr 2017
Tag: spine
Inclusion in quiz mode: Included

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