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Case of the Week 566


What is the most likely diagnosis?

  • 47 year-old jumped from window



Sagittal CT Reconstruction of Lumbar Spine

  1. Chance Fracture
  2. Atherosclerosis of Aorta
  3. Degenerative Disc Disease
  4. Transitional Vertebra
  5. Burst Fracture

Additional Image-None

 

Additional Images

 


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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

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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.