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local anesthesia was infused "over the kiphus of the L2 spinous process"
and later
"distraction straightened the kiphus somewhat from L1 through L3"
Surgery is ORIF for a burst fracture of L2 with pedicle screw/rod fixation.
kyphus?
TTA!
Figure 1. The spine is in kyphos from L2 and above, and axial loads therefore tend to be combined with significant compression of the anterior elements, leading to more kyphosis. L3 and below are in lordosis, and even if the spine is flexed slightly, the axial compression forces produce uniform compression of the vertebral body or even put them into slight lordosis, rather than into kyphosis.