Figure 4

Follow-up images (case 18). Preoperative and postoperative imaging of a 45-year-old male patient (case 16) with L2 burst fracture, LSS _7, AO type A3.2, Danis type E with Frankel C neurologic impairment. A, B, Preoperative AP and lateral roentgenogram showing a L2 burst fracture with an angular segmental deformity of 17°. Preoperative axial CT scan image (C) and preoperative sagittal lumbar magnetic resonance imaging (D) demonstrating a significant spinal canal encroachment by retropulsion of the fragments of the fracture vertebra with laminar fracture. E, F, Postoperative AP and lateral plain radiograph showing a correct position of two cages placed to intervertebral space and the posterior transpedicular system. Angular deformity was corrected and segmental height was restored. G, H, Postoperative axial and sagital CT demonstrating a significant spinal canal clearance and satisfied position of the cages and normal thoracolumbar alignment and some of the grafted bone chips was inserted into the vertebral body through the fractured endplate.