PT  - JOURNAL ARTICLE
AU  - Timothy Richard Taylor
AU  - Robert Lenthall
TI  - Extension avulsion fracture of the upper thoracic spine with associated oesophageal injury
AID  - 10.1136/emj.2009.076372
DP  - 2010 Apr 01
TA  - Emergency Medicine Journal
PG  - 332--333
VI  - 27
IP  - 4
4099  - http://emj.bmj.com/content/27/4/332.short
4100  - http://emj.bmj.com/content/27/4/332.full
SO  - Emerg Med J2010 Apr 01; 27
AB  - 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.