Presentation
Struck by a falling object.
Patient Data
Age: 35 years
Gender: Male
From the case:
Chance-type fracture
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Horizontal fracture through the spinous process and both pedicles of D11.
Horizontal fracture through the spinous process and both inferior articular processes of D10.
Mild anterior wedging of the D11 and D12 vertebras.
The feature suggests a chance-type fracture.
From the case:
Chance-type fracture
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Bone marrow edema seen in the upper endplate of D11 and D12 extending to their posterior element.
Interruption of the supraspinous ligament.
High signal intensity of the interspinous process.
Interruption of the ligamentum flavum.
Soft tissue edema overlying the lower dorsal spine.
Case Discussion
Chance fracture is an unstable type of fracture resulting from flexion-distraction thoracolumbar injury.
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