L-spine - Unstable fracture - Lateral
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L-spine - Unstable fracture - Lateral
- There is loss of vertebral body height anteriorly indicating anterior column injury
- Additional loss of alignment of the posterior vertebral bodies indicates middle column injury
- Injury to 2 columns indicates potential instability
- Note: The clinico-radiological assessment of thoracolumbar spine stability is usually performed by experienced clinicians with the help of radiologists
L-spine - Unstable fracture - AP
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L-spine - Unstable fracture - AP
- (Same patient as image above)
- This AP image shows loss of definition of the superior endplate cortex at the level of the fracture
- AP images are not usually helpful in assessing stability