Fig. 3.

Twenty-seven-year-old male who fell from a height, showing discordance of surgical recommendations from TLICS, Denis and load sharing classifications. The patient underwent surgical fixation one level above and one level below the fracture, and had no increased kyphosis on follow up imaging. A. Sagittal STIR shows burst morphology of T12 fracture, with intact PLC. Neurologic status was normal, and this injury has a TLICS score of 2, indicating nonsurgical management is recommended. The load sharing score based on CT is 4, and nonoperative management would be recommended. B. Coronal CT shows fracture of the left pars interarticularis (arrow) indicating 3-column fracture in Denis classification. This is an A4B2 injury in AO classification. C. Axial CT shows that bilateral laminar fractures (arrows) are also present.