12 A 50-year-old woman fell 15 feet and developed lower thoracic pain that did not improve. The pain was axial, without radiation. She did not have any deficit on examination. A T11 burst fracture is featured on reconstructed (Fig. 12-1) and axial thoracolumbar computed tomography (CT) scan (Fig. 12-2). FIGURE 12-1 Sagittal reconstruction demonstrates a T11 fracture with 50% loss of height and 50% canal compromise. Thoracic burst fracture A thoracic fusion was completed. Burst fractures constitute 20% of major spine injuries. They are a two-column injury. A burst fracture is differentiated from a compression fracture by the presence of posterior vertebral body line failure, retropulsion, and widening of the interpedicular distance, indicating failure of the anterior and middle columns. This is usually associated with incomplete neurologic deficit.
Burst Fracture
Presentation
Radiologic Findings
Diagnosis
Treatment
Discussion
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