case_images: PMC11807263_01
case_images: Preoperative images. A: Mid-sagittal reconstruction CT. B: Coronal reconstruction CT. C: Mid-sagittal T1-weighted MRI. D: Mid-sagittal T2-weighted MRI.. Red arrows indicate fracture line.. CT: computed tomography, MRI: magnetic resonance imaging
case_images: cureus-0017-00000077216-i01.jpg
case_images: PMC11807263_01_cureus-0017-00000077216-i01.jpg
case_images: FIG1
case_images: MRI revealed hypointensity in the L1 vertebra, indicating acute fracture and no epidural hematoma or spinal cord compression at the L1 level (Figure 1).
case_images: Transdiscal screw insertion. A: Axial view. B: Sagittal view. C: Coronal view.
case_images: cureus-0017-00000077216-i02.jpg
case_images: PMC11807263_01_cureus-0017-00000077216-i02.jpg
case_images: FIG2
case_images: Percutaneous transdiscal screws of T12 and L3 were aimed toward the upper endplate and directed approximately 25 degrees cranially to penetrate the superior endplate of the working level (Figure 2).
case_images: Downward screw insertion. A: Axial view. B: Sagittal view. C: Coronal view.
case_images: cureus-0017-00000077216-i03.jpg
case_images: PMC11807263_01_cureus-0017-00000077216-i03.jpg
case_images: FIG3
case_images: Downward pedicle screws of T11 and L2 were aimed toward the lower and anterior end of the endplate to make a triangular shape on each side (Figure 3).
case_images: Intraoperative image and navigation image. A: Intraoperative image. B: Navigation image.
case_images: cureus-0017-00000077216-i04.jpg
case_images: PMC11807263_01_cureus-0017-00000077216-i04.jpg
case_images: FIG4
case_images: Intraoperative anteroposterior and lateral radiograms are obtained to check the correct placement of each screw (Figure 4).
case_images: Postoperative radiograms. A: Anteroposterior lumbar radiogram. B: Lateral lumbar radiogram.. The screws' construct is triangular.
case_images: cureus-0017-00000077216-i05.jpg
case_images: PMC11807263_01_cureus-0017-00000077216-i05.jpg
case_images: FIG5
case_images: In a lateral spinal radiogram (delta fixation), the upper and lower segments of the fracture site resembled two triangle shapes (Figure 5).
case_images: Postoperative CT. A: Paramedian reconstruction CT. B: Coronal reconstruction CT. C: Axial CT at T11. D: Axial CT at L2.. The transdiscal screws are penetrated into the endplate (red arrows).. CT: computed tomography
case_images: cureus-0017-00000077216-i06.jpg
case_images: PMC11807263_01_cureus-0017-00000077216-i06.jpg
case_images: FIG6
case_images: Postoperative CT indicated that all screw positions were satisfactory (Figure 6).