Case #20

Case #18

• T6: Acute nondisplaced fracture with buckling of the anterior cortex and extension through the inferior endplate. No height loss or involvement of the posterior elements
• T7: Nondisplaced fractures of the superior articular facets with extension into pedicles and  facet joints
• T8: Acute chance fracture with minimal anterior height loss with fracture extension into the posterior elements bilaterally to involve the pars interarticularis, superior articular facets, and transverse processes
• T12: Acute distracted avulsion fracture from the inferior margin of the spinous process
• L1: Acute chance fracture with a displaced anterior superior corner fracture fragment, approximately 10% anterior height loss, and fracture extension through the posterior elements bilaterally. Additional fractures of the transverse processes and spinous process. Focal kyphosis at this level with posterior bowing of the posterior cortex of the vertebral body
• L2: Acute mildly displaced fractures through the bilateral transverse processes and pedicles
• Extensive paravertebral edema throughout the mid and lower thoracic spine
• Multiple posterior rib fractures
• Right greater than left pulmonary contusion/aspiration. Debris layering in the central airways
• Left mainstem intubation

• Multilevel flexion-distraction injuries