Fig. 1

A case with a subsequent vertebral fracture is presented. A 72 year old patient suffered from an acute L2 fracture type OF 4 while helping to lift her husband out of the bed 8 days ago a-c. This trauma mechanism was defined as not adequate. Based on the intense pain despite adequate analgetig medication hybridstabilization consisting of percutaneous short-segmental posterior stabilization and cement augmentation of the fractured vertebral body was performed d,e. Acute pain occurred four months after having an eventful initial course. There was no trauma history. The radiographs depicted an subsequent fracture of the thoracic vertebral body 12 with kyphotic malalignment f,g. This was treated with long-segmental stabilization and cement-augmentation of the fractured vertebral body. The latest radiographs 6 years after the initial fracture are shown h,i