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Figure 2: Operative management for L1 burst fracture. A 18-year-old male patient sustained an L1 burst fracture after falling from a tree (a and b: pre-operative CT). It was associated with an apophyseal ring avulsion at T12 (Salter-Harris type 2 fracture). The patient presented with bilateral lower extremity weakness, numbness and bladder dysfunction. MRI demonstrated the fracture fragment in the canal and signal intensity change of the distal spinal cord (c and d). The patient was treated with a posterior decompression and instrumented fusion from T12 to L2 (e and f)

Figure 2: Operative management for L1 burst fracture. A 18-year-old male patient sustained an L1 burst fracture after falling from a tree (a and b: pre-operative CT). It was associated with an apophyseal ring avulsion at T12 (Salter-Harris type 2 fracture). The patient presented with bilateral lower extremity weakness, numbness and bladder dysfunction. MRI demonstrated the fracture fragment in the canal and signal intensity change of the distal spinal cord (c and d). The patient was treated with a posterior decompression and instrumented fusion from T12 to L2 (e and f)