What is the most likely diagnosis? 
              
                - 47 year-old jumped from window

                
                Sagittal CT Reconstruction of Lumbar Spine
              
                - Chance Fracture
- Atherosclerosis of Aorta
- Degenerative Disc Disease
- Transitional Vertebra
- Burst Fracture
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                  Answer:
               
              
                5. Burst Fracture
                 
              
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              Burst Fracture
                
              
              General Considerations
              
                - Burst  fractures result from axial loading most often secondary to motor vehicle  accidents and falls
- The  axial load drives the intervertebral disk into vertebral body below
- Usually  produces a comminuted, vertical fracture through the vertebral body
- Fragments  may be retropulsed into the spinal canal injuring the cord