L4 compression fracture, radiograph
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This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CB1242-L4 compression fracture, radiograph
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CB1242-L4 compression fracture, radiograph
Case ReportHistory
Exam
Prior Study
Findings
Technique
The thoracolumbar junction and the lumbosacral junction are included on the exam. The exam is not limited by technique.
Prevertebral and paravertebral soft tissues
The prevertebral and paravertebral soft tissues are normal.
Spinal alignment
The vertebral bodies are abnormally aligned. The anterior and posterior vertebral body lines are interrupted from a fracture of the L4 vertebral body. The visualized spinous processes are minimally distracted at L3-L4.
There is mild reversal of the lordosis of the lumbar spine with the apex at L3-L4.
Vertebral bodies and posterior elements, and included sacral segments
There are 5 non rib-bearing vertebral bodies.
There is a fracture of the L4 vertebral body with anterior wedging and compression of the vertebral body and superior end plate.
A small fracture fragment is slightly displaced anterior to the L4 vertebral body, and there is minimal retropulsion of the posterior superior vertebral body into the spinal canal.
There is no fracture of the posterior elements or included sacral segments.
Disc spaces and facet joints
There is disc space narrowing at L3-L4 particularly at the posterior aspect.
There is no subluxation or rotational abnormality of a disc space.
There is no displacement of facets at any motion segment.
There is no facet joint or neural foraminal narrowing other than from degenerative change.
Additional soft tissues and bones (lower thorax, abdomen, and pelvis)
The bowel gas pattern and abdominal soft tissues are normal.
The included thoracic spine, ribs, lungs, and remainder of the bony pelvis are normal.
Other findings
There are no other existing conditions that might be contributing to symptoms which can or should be further evaluated non-emergently.
