Minimally incisional stabilization of unstable L5 burst fracture

Background: Burst fractures of the L5 vertebral body are uncommon. Treatment options described include prolonged immobilization and surgical stabilization, most commonly with an instrumented fusion from L4 to the sacrum. Methods: We describe the use of a minimally incisional technique to provide temporary internal fixation in a patient with an L5 burst fracture who was not a candidate for prolonged immobilization. Results: This technique resulted in an excellent outcome without the requirement for a fusion. Conclusion: Minimally incisional fixation procedures are a treatment option for select patients with L5 burst fractures.