Limits...
Chance Fracture T11

Bergman EWB - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: National Naval Medical Center Bethesda

ABSTRACT

Diagnosis: Chance Fracture T11

History: 23 y.o. man after a high fall

Findings: AP/LAT T-SPINE: Anterior compression fracture of T11 with loss of approximately 50% of height. AP view demonstrates abnormal pedicles with linear fractures and widening bilaterally. Posterior elements not well seen on lateral secondary to spine board. CT (Sag recon): Horizontal fracture of T11 vertebral body extending horizontally throught posterior elements MRI (Sag ): No cord compression or abnormal signal

Ddx: The differential diagnosis initially after plain films alone include (compression, burst, chance and fracture dislocation). The abnormal appearance of the pedicles with horizontal lucent fractures and widening rules-out compression fracture alone. The involvement of the posterior elements and non-comminution of body fracture rules-out a burst fracture. The fact that there are no associated dislocations rules-out fracture dislocation.

Dxhow: CT sagittal reconstruction

Exam: Multiple trauma

No MeSH data available.


© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX2454&req=5


Chance Fracture T11

Bergman EWB - MedPix

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2454&req=5

View Article: MedPix Image - MedPix Case

Affiliation: National Naval Medical Center Bethesda

ABSTRACT

Diagnosis: Chance Fracture T11

History: 23 y.o. man after a high fall

Findings: AP/LAT T-SPINE: Anterior compression fracture of T11 with loss of approximately 50% of height. AP view demonstrates abnormal pedicles with linear fractures and widening bilaterally. Posterior elements not well seen on lateral secondary to spine board. CT (Sag recon): Horizontal fracture of T11 vertebral body extending horizontally throught posterior elements MRI (Sag ): No cord compression or abnormal signal

Ddx: The differential diagnosis initially after plain films alone include (compression, burst, chance and fracture dislocation). The abnormal appearance of the pedicles with horizontal lucent fractures and widening rules-out compression fracture alone. The involvement of the posterior elements and non-comminution of body fracture rules-out a burst fracture. The fact that there are no associated dislocations rules-out fracture dislocation.

Dxhow: CT sagittal reconstruction

Exam: Multiple trauma

No MeSH data available.