Image
Burst Fracture of L1
- Image ID
- MPX1457_synpic52424
- Case U_id
- MPX1457
- Modality
- CT · CT - noncontrast
- Plane
- Axial
- Location
- Spine (Spine and Muscles)
- Age / Sex
- 58 / male
- Caption
- L1 compression fracture with retropulsed fragment invading spinal canal.
- ACR Codes
- 3.4
Clinical case
- History
- Pt is a 58yo man presented with focal back pain. One day prior to presentation he fell from a ladder at a height of 6ft and landed on his feet.
- Exam
- No neurologic abnormalities. Focal 9/10 low back pain.
- Findings
- Radiograph of L-spine: Compression fracture involving the posterior aspect of L1 with posterior displacement of the fracture fragment--concern for burst fracture CT: L1 burst fracture Known polycystic kidney disease incidentally imaged
- Differential Diagnosis
- Compression vs. Burst fracture
- Case Diagnosis
- Burst Fracture of L1
- Diagnosis By
- CT
Topic
- Category
- Trauma
- ACR Code
- 3.4
Disease discussion
Lesion/Condition Name: Burst Fracture of L1
Associations/Predisposing Factors: Commonly associated with calcaneal fractures after a fall and landing on feet
Common Locations: Cervical and lumbar vertebrae
Radiology: Retropulsed fragment of the posterior aspect of the vertebral body. Fracture invovles all 3 of the vertebral columns
Prognosis and Treatment: Spinal fusion surgery