Swetabh VermaLucky pt to have escaped neurodeficits..this is an unstable fracture for sure and a ct would reveal retropulsion to cAnal..although even 70% canal compromise is ok sometimes, yet fixing the fracture atleast 2 level up and down would provide the much needed stability..not much role of any anterior column support by bone graft/ cage..posterior ligament repair would ensure a healthy tension band and much needed stability for early ambulation of pt..plz do get a CT also before proceeding
Swetabh VermaEven to plan any anterior column support we need a ct for applying mc cormack and gaines classfn..still i feel this pt would do equally good if only posterior fixation and fusion is attempted
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