Posterior Vertebral Injury; Is This a Burst Fracture or a Flexion-Distraction Injury?

In thoracolumbar spinal fractures with posterior column injury for applying proper management, it is important to distinguish a flexion-distraction injury (fdi) from a three column burst fracture (bf) as in clinical examination, both may have a similar significant tenderness on direct spinal palpation. careful attention to the comprehensive clinical examination and detailed imaging features are essential in making an accurate diagnosis and thus appropriate treatment.