Intended for healthcare professionals

Endgames Spot Diagnosis

Back pain after trauma

BMJ 2016; 352 doi: (Published 03 March 2016) Cite this as: BMJ 2016;352:i825
  1. Layla A Nasr, research fellow1,
  2. Ali A Haydar, assistant professor1
  1. 1Department of Diagnostic Radiology, American University of Beirut Medical Centre, Beirut, Lebanon
  1. Correspondence to: A A Haydar ah24{at}

A 22 year old man presented because of back pain after a car crash. Physical examination identified tenderness over the mid aspect of the back. Non-contrast computed tomography of the dorsal spine was performed (fig 1). What does the scan show and what is the diagnosis?


The sagittal computed tomogram on bone window shows a wedge shaped fracture of the anterior aspect of the T8 vertebral body (arrows) with the fracture line …

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