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Extension avulsion fracture of the upper thoracic spine with associated oesophageal injury
  1. Timothy Richard Taylor,
  2. Robert Lenthall
  1. Department of Imaging, Queens Medical Centre, Nottingham, UK
  1. Correspondence to Dr Timothy R Taylor, Department of Imaging, Queens Medical Centre, Derby Road, Nottingham NG7 2UH, UK; timt{at}


This case report describes a case of a high-speed injury in a patient with preexisting spinal segmentation abnormality, leading to anterior corner avulsion fracture of T1 and oesophageal perforation. As well as being indicative of anterior ligamentous injury, bony fragments associated with hyperextension injuries may injure adjacent viscera or vessels, and clinicians should consider the possibility of clinically occult visceral or vascular damage if such a fracture is demonstrated. Conservative management of both injuries was successful in this case.

  • computed tomography/magnetic resonance imaging
  • emergency care systems
  • emergency departments
  • spine and pelvis trauma
  • trauma

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  • Competing interests None.

  • Provenance and peer review Not commissioned; not externally peer reviewed

  • Patient consent Obtained.