Case of July 2023

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Clinical History:

A 72 year-old man complains of increasing lower back pain after falling from a stool at home a few days ago, resulting in a back contusion. He is unable to walk (ambulatory premorbid status) and needs a wheelchair. Upon physical examination, there is bony tenderness at the thoracolumbar spine. Neurological examination of the limbs is normal.

Plain radiograph of the thoracolumbar junction (AP, Lateral)

Plain CT (thoracolumbar junction; sagittal)

Plain MRI (T2/STIR; thoracolumbar junction; sagittal)