GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info

Two-column thoracic spine fracture

Case contributed by Henry Knipe
Diagnosis certain


Fall from standing height.

Patient Data

Age: 75 years
Gender: Male

Vertical oblique fracture through the posterior third of the T9 vertebral body extending from the superior endplate to the inferior posterior cortex, with minimal retropulsion but no high-grade central canal narrowing.

Right T10 transverse process fracture. T7-T10 spinous process fractures.

Mild fat stranding of the paravertebral fat but no large hematoma.

Case Discussion

This is example of a two-column injury involving the middle and posterior columns. This is a potentially unstable injury and referral to a spinal unit is required.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.