CTICasesThoracic spine fracture with spinal cord compression
Imaging findings
Chest radiograph shows a mediastinal hematoma and double-contoured vertebral bodies. CT confirms severe, overlapping fractures of the thoracic vertebral bodies with spinal canal stenosis and cord compression.
Key takeaways
High-energy trauma can cause severe thoracic spine fractures that are difficult to visualize on frontal radiographs. Meticulous evaluation of the spinal alignment and paraspinal/mediastinal fat stripes is critical.
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