ADVERTISEMENT

Emergency Imaging

A 49-year-old man presented to the ED with low-back pain. Radiographs of the lumbosacral spine were obtained; a coned-down frontal representative radiograph of the lower lumbar spine and sacrum is presented (Figure 1a).
Emergency Medicine. 2015 March;47(3):133-135
Author and Disclosure Information

A 49-year-old man presents to the ED with low-back pain.

Case

A 49-year-old man presented to the ED with low-back pain. Radiographs of the lumbosacral spine were obtained; a coned-down frontal representative radiograph of the lower lumbar spine and sacrum is presented (Figure 1a).

,

What is the diagnosis? Is additional imaging necessary? If so, why?