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A 22 year old male was involved in a motor cycle accident and suffered from a lumbar 1 fracture AO type A2 (a). He was treated in a TLSO brace for 4.5 months but disclosed pseudo-arthrosis of the fractured vertebral body on imaging (b). Due to ongoing mechanical back pain he was fused operatively at an outside facility closer to his home and did well on follow up at 11 months
