Vertebral compression fractures

Case contributed by Dr R Mannava

Presentation

Motor vehicle collision. Restrained passenger. Loss of consciousness. Traumatic brain injury on CT.

Patient Data

Age: 12
Gender: Male

Subtle anterior loss of height of the T6-T10 vertebrae.  Subtle fracture step-off at the superior T10 endplate.

MRI

Edema in the upper half of the T6-T10 vertebral bodies with mild loss of height at the superior endplates compatible with acute fractures.

Case Discussion

This patient had no other spinal fractures besides the subtle wedge fractures shown at T6-T10.  In younger patients the vertebral bodies should all be rectangular.  Any variation from this shape is abnormal.  Even mild wedging should be considered abnormal in the setting of trauma.

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Case information

rID: 53015
Case created: 28th Apr 2017
Last edited: 4th May 2017
System: Spine
Inclusion in quiz mode: Included

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