Mid-thoracic pediatric trauma

Case contributed by Jeremy Jones
Diagnosis almost certain

Patient Data

Age: 7 years
Gender: Male
x-ray

The vertebral bodies in the mid-thoracic spine are rounded anteriorly which is simply a feature of the developing pediatric spine.

mri

The rounded anterior margin of the thoracic vertebra represents normal development and is not pathological.  Each of the vertebra are wrapped in cartilage and there is no increased high signal in the vertebral bodies.

Incidentally, there is a Chiari I malformation and an extensive thoracic syrinx.

Case Discussion

The pediatric spine is full of subtle ossific densities and "abnormal" contours, most of which actually represent normal development.

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