Initial injury.Acute T11 burst fracture deformity, associated with marked retropulsion of the T11 middle column into the spinal canal; ventral epidural hematoma; severe spinal cord stenosis and cord compression with cord edema; and bilateral T11-12 jumped facets. Suspected complete disruption of the anterior longitudinal ligament, posterior longitudinal ligament, interspinous ligament, ligament flavum, and facet joint capsules at the T10-11 level.