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. 2013 Jan-Jun;4(1):3–9. doi: 10.4103/0974-8237.121616

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Copyright: © Journal of Craniovertebral Junction and Spine

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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This 14-year-old girl was involved in a car accident. She had impairment of strength in her lower limbs (1/5 left lower limb and 2/5 right lower limb) with normal sensibility and rectal tone. (a) Sagittal CT scan showing a L2 burst fracture with canal compression. (b) Coronal CT scan reconstruction showing loss of vertebral body height. (c) Axial CT scan with canal compression and laminar fracture. (d-f) T2 sequence magnetic resonance imaging suggestion PLC disruption (see white arrow). TLICS Score was 2 points (burst) +2 points for suspect PLC disruption (MR) +2 points for neurological status (root injury) = total 6 points; surgical treatment was performed with a combined approach (g and h)