PMC3928349_01
A : Lateral spine X-ray of the patient showing collapsed L4 vertebral body (arrow). B and C : Saggital T2 and T1-weighted MRI of the lumbar spine showing collapsed L4 vertebral body and compression of neural elements (white arrow). D : Axial T2-weighted MRI of the lumbar spine showing collapsed L4 vertebral body compressing neural elements (black arrow showing neural tissue, white arrow showing collapsed vertebral body).
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F1
X-ray of the lumber spine showed massive collapse of L4 vertebral body (Fig. 1A). Magnetic resonance imaging (MRI) revealed fracture and collapse of the body of L4 vertebrae (Fig. 1B, C). The spinal canal was narroved by posterior elements of the vertebrae, therefore neural tissue was compressed (Fig. 1D).
Postoperative lateral (A) and AP X-ray (B) showing transpedicular screw fixation on the L3 and L5 vertebral body.
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F2
Neural tissue was decompressed and then posterior L3-5 short segment transpedicular screw fixation and stabilization was performed (Fig. 2).