Spinal fractures Quiz: Ace Your Exams

A 66-year-old woman presents to the emergency department after experiencing a fall. The patient was seated in a chair and fell when she was getting up. She fell directly onto her back and landed on the tile floor. The patient has a past medical history of hypertension and osteoporosis. She takes lisinopril daily. Due to multiple side effects, she has not consistently taken medication to treat the osteoporosis. Temperature is 37°C (98.6°F), blood pressure is 188/64 mmHg, heart rate is 72 beats per minute, respiratory rate is 16 breaths per minute, and oxygen saturation is 99% on room air. On primary survey, the patient endorses moderate mid-back pain. Bilateral breath sounds are present, and there is no evidence of obvious bleeding. The patient has no neurologic deficits. Examination of the back reveals mild point tenderness at the T8 level without step off deformity. The lower extremities have normal strength, reflexes, and sensation bilaterally. The patient can ambulate without significant pain. Computed tomography (CT) imaging is most likely to reveal which of the following findings?