CT - Targeted T12-L2 examination
Axial bone window
Sagittal bone window
Coronal bone window
Axial non-contrast
Axial non-contrast
How would you classify this fracture?
This is a two-column injury (anterior and middle).
Burst compression fracture of the L1 vertebral body is associated with a 35% loss of vertebral body height. The fracture line breaches both the anterior and posterior vertebral body cortex and the anterior superior endplate. There is a 3 mm retropulsion into the spinal canal, resulting in only mild canal narrowing. The alignment is otherwise intact. No other fracture detected. The paraspinal soft tissues are unremarkable.
Conclusion:
L1 burst fracture representing a two-column injury.