ADVERTISEMENT

Severe Pain Following Car Crash

Clinician Reviews. 2012 June;22(6):
Author and Disclosure Information

ANSWER
The radiograph shows malalignment at the L3-L4 level.  There is a slight retrolisthesis, as well as widening of the interspinous disc space and the facets at this level. No compression fracture is seen.

Such findings are suggestive of a Chance fracture as a result of a hyperflexion injury. CT confirmed these findings. Such injuries are considered unstable and generally require surgical stabilization.