Limits...
Flexion-distraction, osseous-ligamentous (Chance variant) fracture of L1.

USU Teaching File MUTF - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Flexion-distraction, osseous-ligamentous (Chance variant) fracture of L1.

History: 23 year-old active duty male who fell approximately 30 feet while intoxicated and attempting to climb into his barracks window. The patient lost consciousness with the fall and awoke in the hospital. The patient complains of lower back pain at the level of L1 that does not radiate. He denies pain elsewhere, and has no radicular symptoms.

Findings: See Image Captions

Exam: On physical exam, his lumbar spine is tender to palpation at L1. There is no stepoff or scoliosis. Remainder of spine is non-tender to palpation. All spinous processes were palpapated. CNII-XII intact. Sensation intact bilaterally in both upper and lower extremities with 5/5 strength throughout. 2+ reflexes (patella, Achilles, biceps, triceps) bilaterally in both upper and lower extremities. No Babinski.

No MeSH data available.


Noncontrast CT of T11-L4 and sagital and coronal reconstructions:  Horizontally oriented fracture of vertebral body with slight anterior deformity at L1.  There is a horizontal fracture that extends posteriorly through both pedicles and laminae into the spinous process with mild distraction of the posterior elements.  There are bilateral transverse process fractures at L1.  There is a slight distraction of the facet joints at the T12-L1 level.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX1177&req=5

MPX1177_synpic8705: Noncontrast CT of T11-L4 and sagital and coronal reconstructions: Horizontally oriented fracture of vertebral body with slight anterior deformity at L1. There is a horizontal fracture that extends posteriorly through both pedicles and laminae into the spinous process with mild distraction of the posterior elements. There are bilateral transverse process fractures at L1. There is a slight distraction of the facet joints at the T12-L1 level.


Flexion-distraction, osseous-ligamentous (Chance variant) fracture of L1.

USU Teaching File MUTF - MedPix

Noncontrast CT of T11-L4 and sagital and coronal reconstructions:  Horizontally oriented fracture of vertebral body with slight anterior deformity at L1.  There is a horizontal fracture that extends posteriorly through both pedicles and laminae into the spinous process with mild distraction of the posterior elements.  There are bilateral transverse process fractures at L1.  There is a slight distraction of the facet joints at the T12-L1 level.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1177&req=5

MPX1177_synpic8705: Noncontrast CT of T11-L4 and sagital and coronal reconstructions: Horizontally oriented fracture of vertebral body with slight anterior deformity at L1. There is a horizontal fracture that extends posteriorly through both pedicles and laminae into the spinous process with mild distraction of the posterior elements. There are bilateral transverse process fractures at L1. There is a slight distraction of the facet joints at the T12-L1 level.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Flexion-distraction, osseous-ligamentous (Chance variant) fracture of L1.

History: 23 year-old active duty male who fell approximately 30 feet while intoxicated and attempting to climb into his barracks window. The patient lost consciousness with the fall and awoke in the hospital. The patient complains of lower back pain at the level of L1 that does not radiate. He denies pain elsewhere, and has no radicular symptoms.

Findings: See Image Captions

Exam: On physical exam, his lumbar spine is tender to palpation at L1. There is no stepoff or scoliosis. Remainder of spine is non-tender to palpation. All spinous processes were palpapated. CNII-XII intact. Sensation intact bilaterally in both upper and lower extremities with 5/5 strength throughout. 2+ reflexes (patella, Achilles, biceps, triceps) bilaterally in both upper and lower extremities. No Babinski.

No MeSH data available.