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6Anterior column: reduction and fixation

Reconstruction plate stabilization of the anterior column

It may be necessary to supplement the fixation with the application of a reconstruction plate, undercontoured to support the rotational reduction of the anterior column. However, it is commonly difficult to apply this definitive plate prior to the reduction of the posterior column fracture. Furthermore, if there is a posterior wall component, it will need to be reduced and stabilized with the same plate. Therefore, plate fixation of the anterior column commonly occurs after reduction and provisional fixation of the posterior fragments.