Fig. 1. (A–D) Preoperative images. (E, F) Postoperative images. (A) Preoperative standing lateral radiograph revealed a collapsed fracture at T12 and kyphosis with an intravertebral cleft. (B) Preoperative magnetic resonance imagedisplayed mixed signs of liquid and gas within the vertebral body. (C, D) Preoperative computed tomography image showed the intravertebral vacuum sign and gas in the adjacent disc. (E, F) Lateral radiographs showed no decrease in the vertebral height orrecurrence of kyphosis at 2-year follow-up.