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Preoperative anteroposterior (A) and lateral flexion-extension radiographs (B, C) of a 76-year-old male with a history of fall showing an unstable fracture of L4 vertebra. The patient was neurologically intact. There was a coronal split of the vertebral body with inferior endplate involvement. Bicortical screw fixation with cement augmentation was performed at L3 and L5 levels. Expandable cage was put in the L4–L5 disc space after disc preparation (D, E).
