L2 fracture 15 years after lumbar fusion above post fusion stenosis after previous L4 to S1 fusion. Sagittal T2 magnetic resonance imaging (MRI) scan: Patient is a 68-year-old female with previous L4-S1 laminectomy and posterior fusion 15 years previously without instrumentation. There is development of post fusion stenosis at L3-4 (solid white arrows). After a fall, she developed mid lumbar pain. MRI revealed an acute superior endplate compression fracture at L2 (dotted white arrows).