Fig. 3.

Nineteen-year-old female with chronic T12 burst fracture and painful progressive local kyphosis. a Preoperative sagittal CT scan demonstrating collapse with local kyphosis and retropulsion of fragments into the canal. b Preoperative sagittal fat saturation inversion recovery MRI demonstrating a chronic fracture and cord compression. c Intraoperative fluoroscopic image demonstrating retractor placement and localization of the affected spinal level. d, e Postoperative AP and lateral radiographs demonstrating Synex expandable cage and thoracic spine locking plates in place with restoration of normal alignment.