Fig. 3

PMCP surgical procedure for the treatment of a 65-year-old female patient with OVBFs in L₁ vertebra. A Preoperative lateral radiograph showing a burst fracture of L₁. B, C Preoperative CT-scan (plain and sagittal reconstruction image) showing the burst fracture with spinal canal compromise. D Preoperative MRI (T2-weighted sequences) showing the burst fracture with spinal canal compromise. E, F Intraoperative fluoroscopic image demonstrating PMCP surgical procedure. G Intraoperative view. H Postoperative lateral radiograph showing better alignment following cement injection and adequate vertebral body reduction. I, J Postoperative CT-scan (plain and sagittal reconstruction image) showing no worse spinal canal compromise and better alignment and adequate vertebral body reduction. K, L CT-scan (plain and sagittal reconstruction image) 2 years after surgery showing reduced spinal canal compromise, excellent fracture healing and alignment