Alex Vaccaro, Frank Kandziora, Michael Fehlings, Rajasekaran Shanmughanathan
Luiz Vialle
German Ochoa (in memoriam)
Type A4 burst injuries are fractures of both endplates. A vertical fracture of the lamina, does not imply posterior tension band rupture.
It is a sign of compression forces.
CT/radiograph images are examined to determine the fracture type.