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Fig. 4A. —30-year-old man who presented with unstable translation injury of fifth thoracic vertebra after car crash. Sagittal multiplanar reformation image based on standardized 4-MDCT trauma protocol (4 x 2.5 mm collimation) shows anterior translation of upper vertebrae with respect to lower vertebrae, compressive failure of anterior column of lower vertebral body (arrow), disruption of posterior column with facet dislocation (single arrowhead), and small fracture fragments in posterior column (double arrowheads).