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Figure 5 | BMC Musculoskeletal Disorders

Figure 5

From: Posterior short segment pedicle screw fixation and TLIF for the treatment of unstable thoracolumbar/lumbar fracture

Figure 5

Follow-up images (case 18). Preoperative and postoperative imaging of a 35-year-old male patient (case 18) with L2 burst fracture, LSS _7, AO type A3.3, Danis type A with Frankel B neurologic impairment. A, B, Preoperative AP and lateral roentgenogram showing a L2 burst fracture with an angular segmental deformity of 21°. Preoperative sagittal (C) and axial (D) CT scan image, preoperative sagittal (E) and axial (F) lumbar MRI demonstrating a significant spinal canal encroachment at the fracture level. G, H, nine months 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. I, 9 months postoperative coronal CT demonstrating successful intersomatic bony fusion of the L1 to L3 segment. J, 9 months postoperative axial CT demonstrating significant spinal canal clearance and remodeling of the posterior wall of the fractured vertebra body. K, L, 9 months postoperative sagittal and axial MRI showing satisfied decompression of the neural eliments.

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