Abstract
A 19-year-old woman arrived to our Level 1 trauma center 2 days after a motor vehicle rollover on the US-Mexico border. The patient's examination revealed absent sensation to light touch and pinprick below T11, 0/5 motor function in bilateral lower extremities (including 0/5 function in bilateral iliopsoas), absent rectal tone, and no appreciable bulbocavernosus reflex. Initial computed tomography revealed an L3 vertebral fracture extending from the anteroinferior end plate through the middle column and posterior vertebral cortex.
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