Clinical Hx (Case 1)

22 year old male. Ejected from a vehicle during a high speed single vehicle rollover. Immediate complaints of chest and back pain. Transported to FMC. Hemodynamically stable. No LoC. Injury to thoracic or lumbar spine and associated bilateral pulmonary contusions.

Neurological exam (Case 1)• Upper extremity:

– Sensory: Normal to light touch and pinprick– Motor: 5/5 power in all muscle groups

• Lower extremity:– Sensory: Absent sensation– Motor: 0/5 power in all muscle groups

• Rectal:– Sensation: Absent– Voluntary sphincter tone: Absent

• Other relevant findings:– No sensation to pinprick below costal margin bilaterally. Complete absence of sensation

below umbilicus.

Imaging (Case 1)

• Midsagittal CT scan• Parasagittal CT scan• Axial CT scan• Midsagittal STIR MRI scan

Clinical Hx (Case 2)

30 year old male. Fell approximately 30 feet landing on back. Immediate complaints of back pain. Transported to FMC. Hemodynamically stable. No LoC. Isolated injury to thoracic or lumbar spine.

Neurological exam (Case 2)• Upper extremity:

– Sensory: Normal to light touch and pinprick– Motor: 5/5 power in all muscle groups

• Lower extremity:– Sensory: L3-S2 left sided numbness, otherwise normal to light touch and pinprick– Motor: 5/5 power in all muscle groups

• Rectal:– Sensation: Normal to light touch and pinprick– Voluntary sphincter tone: Normal

• Other relevant findings:– None

Imaging (Case 2)

• Lateral XR• Midsagittal CT scan• Parasagittal CT scan• Axial CT scan

Clinical Hx (Case 3)

16 year old. Restrained rear passenger in high speed MVC wearing only lap belt. Immediate complaints of mid to low back pain. Transported to FMC. Hemodynamically stable. No LoC. Isolated injury to thoracic or lumbar spine.

Neurological exam (Case 3)• Upper extremity:

– Sensory: Normal to light touch and pinprick– Motor: 5/5 power in all muscle groups

• Lower extremity:– Sensory: Normal to light touch and pinprick– Motor: 5/5 power in all muscle groups

• Rectal:– Sensation: Normal to light touch and pinprick– Voluntary sphincter tone: Normal

• Other relevant findings:– None

Imaging (Case 3)

• Lateral XR• Midsagittal CT scan• Parasagittal CT scan