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Joseph Junewick, MD FACR
over 6 years ago
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Pedicolaminar Fracture

Case Detail

Anatomy: Brain-Spine
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 7 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: CT
Activities:
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Case Images


Diagnosis

Pedicolaminar Fracture

Findings

CT – Axial images demonstrate fractures of the right pedicle extending to the transverse process and of the right lamina extending to the spinous process. Note the compression fractures of T3 and T4 on the sagittal reformat.

Discussion

Pedicolaminar fracture is the result of simultaneous hyperextension and rotation. The fracture of the pedicle and lamina result in free floating artcular mass. Pedicolaminar fractures are classified by the degree of separation and rotation.

Reference

Harris JH and Mirvis SE. The radiology of acute cervical spine trauma. 3rd Ed. Williams and Wilkins (1996).



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