Fig. 1.

A 64-year-old man fell from a height of 3 m in a building and complained of severe back pain at the thoracolumbar junction. (A) Preoperative plain film demonstrated a burst fracture of L1. (B) Sagittal computed tomography reconstruction showed a spinous process fracture on L1 and a slight widening of the facet joints (T12–L1 and L1–L2), which confirmed the diagnosis of posterior ligamentous complex involvement. (C) Postoperative plain film of the thoracolumbar spine depicting pedicle screw fixation T11–L3. (D) Well-maintained sagittal alignment at 1-year follow-up.