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32-year-old male presents to the emergency department following a motor vehicle accident. A radiograph is shown in Figure A, and a sagittal and axial CT scan are shown in Figure B and C respectively. What is the most likely mode of failure of the posterior spinal column?
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HPI - The patient is a 40 yo male that was involved in a motor vehicle accident. He was brought to the emergency room via an ambulance. He complained of severe low back pain, but without pain radiating into the legs. He denied subjective weakness in his lower extremities, but reports he is having difficulty with urination because of the pain he is in.
Would you operate on this patient?