Complete L5 burst fracture treated by 270-degree decompression and reconstruction using titanium mesh cage via a single posterior vertebrectomy

Complete burst fractures of the L5 is relatively uncommon. How to accomplish a rigid internal fixation as well as preserve motor function is an enormous challenge. We report such a case treated via a single posterior vertebrectomy with 270-degree decompression and reconstruction using titanium mesh cage. The disc between L5/S1 was preserved by placing the titanium mesh cage on the inferior endplate of the L5. We hope this method can offer a possible solution for other surgeons when they meet a similar fracture pattern.