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Sagittal computed tomography (a) and (b) of an octagenarian male with a distractive-extension injury through the T9-10 disc (black arrow) with anterior column deficiency due to osteoporosis and fracture extension into posterior elements. Intraoperative lateral (c) and anteroposterior (d) fluoroscopy depicting percutaneous fixation of the unstable thoracic fracture dislocation in an octagenarian with multiple medical comorbidities.
