A 58-year-old woman sustained a fall from ground level. (A) lateral x-ray shows burst fracture of T12. (B) MRI shows the burst fracture and canal compromise. (C) AP x-ray show good apposition of the rectangular footplates and the adjacent endplates. One week later the patient was experiencing disabling back pain upon mobilization in thoracolumbar orthosis. Posterior minimally invasive pedicle screws were placed. (D) AP x-ray shows stable and satisfactory spinal alignment.