Complex Thoracic Spine Fractures

Findings:

Sagittal MRI images of the thoracic spine demonstrate a complex fracture at the T5 level, which extends through the T5-6 disc space with widening of the disk space and distraction of the T5-6 facet joint, associated with retrolisthesis of T5-6. An additional fracture involves the T6 pedicle and posterior vertebral margin as well as the pars interarticularis seen on the sagittal T-1 sequence. Axial images demonstrate spotty dorsal epidural hematoma and a small ventral epidural hematoma with mild thecal sac narrowing.

Discussion/Differential Diagnosis:

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