case_images: PMC6169344_01
case_images: Preoperative X-ray of the patient showing Stable burst fracture of L1 vertebra with local kyphosis
case_images: SNI-9-190-g001.jpg
case_images: PMC6169344_01_SNI-9-190-g001.jpg
case_images: F1
case_images: Although her neurological examination was normal, the X-rays and MRI studies confirmed an L1 burst fracture without accompanying neural compression [Figures 1 and 2].
case_images: Preoperative magnetic resonance imaging of the patient showing Stable burst fracture of L1 vertebra without disruption of posterior ligaments
case_images: SNI-9-190-g002.jpg
case_images: PMC6169344_01_SNI-9-190-g002.jpg
case_images: F2
case_images: Although her neurological examination was normal, the X-rays and MRI studies confirmed an L1 burst fracture without accompanying neural compression [Figures 1 and 2].
case_images: Clinical picture showing bloody serous discharge from the Right lower wound
case_images: SNI-9-190-g003.jpg
case_images: PMC6169344_01_SNI-9-190-g003.jpg
case_images: F3
case_images: Postoperatively, she did well until the third postoperative day at which time she developed severe back pain and serous discharge from the right L2 pedicle wound [Figure 3].
case_images: Clinical picture during the wound wash showing serous discharge on tenth postoperative day
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case_images: PMC6169344_01_SNI-9-190-g004.jpg
case_images: F4
case_images: On the tenth postoperative day, she returned to the operating room for a washout; the wound was left open [Figure 4].
case_images: Intraoperative photo during debridement showing necrosed muscle tissue
case_images: SNI-9-190-g005.jpg
case_images: PMC6169344_01_SNI-9-190-g005.jpg
case_images: F5
case_images: At this time, all incisions were opened, and the entire bilateral subfascial tracts were explored; the paraspinal muscles were pale, avascular, and non contractile [Figure 5].
case_images: Biopsy picture
case_images: SNI-9-190-g006.jpg
case_images: PMC6169344_01_SNI-9-190-g006.jpg
case_images: F6
case_images: Biopsy of the muscle tissue confirmed avascular muscle necrosis [Figure 6].
case_images: One-year postoperative X-ray showing consolidation of the fracture with no implant failure or increase in kyphosis
case_images: SNI-9-190-g007.jpg
case_images: PMC6169344_01_SNI-9-190-g007.jpg
case_images: F7
case_images: The patient resumed to her activities after 1 postoperative month, and at 1 year, she returned to normal activities [Figure 7].