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Inflicted T12 fracture-dislocation: CT/MRI correlation and mechanistic implications
Brandon Tran1, Michelle Silvera, Alice Newton
1Section of Neuroradiology, Department of Radiology, Brigham and Women's Hospital, Boston, MA, USA.
Pediatric Radiology
|September 7, 2007
Summary
This study details imaging findings of a thoracolumbar neurocentral synchondrosis fracture-dislocation in an infant, indicative of abusive head trauma. The spinal injuries suggest significant hyperflexion and axial loading forces.
Area of Science:
- Pediatric Radiology
- Forensic Imaging
- Skeletal Trauma Analysis
Background:
- Neurocentral synchondrosis fractures are rare injuries, particularly in infants.
- Identifying specific injury patterns is crucial for diagnosing non-accidental trauma.
- Cross-sectional imaging plays a vital role in evaluating complex spinal injuries.
Observation:
- A case of thoracolumbar neurocentral synchondrosis fracture-dislocation in an abused infant is presented.
- CT and MRI revealed characteristic morphologic features of this fracture type.
- Associated cervical and sacral spine injuries were identified on imaging.
Findings:
- The imaging findings provide strong evidence for a mechanism of massive hyperflexion.
- Axial spinal loading is implicated as a contributing factor to the observed injuries.
- The pattern of injury is consistent with inflicted trauma.
Implications:
- This case highlights the importance of recognizing specific spinal injury patterns in suspected child abuse.
- Radiologists must be aware of these findings to aid in the diagnosis of abusive head trauma.
- Understanding the biomechanics of these injuries can assist in forensic investigations.
