Presentation
Motor vehicle collision. Restrained passenger. Loss of consciousness. Traumatic brain injury on CT.
Patient Data
Subtle anterior loss of height of the T6-T10 vertebrae. Subtle fracture step-off at the superior T10 endplate.
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.