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61 In another MRI study by Markku Vornanen et al., it was shown that in well selected population (n = 14) of non-pediatric patients (from n = 122) with thoracolumbar burst fractures or flexion distraction injuries, in 11 patients degeneration with signal loss on MRI, one or both discs adjacent to a fractured vertebra occurred, and, in all concerned discs, a decreased height was evident after long segment instrumentation and later implant removal

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Acknowledgements The authors wish to acknowledge Humphrey Chukwudi Omeoga, of Thomas BegLey Laboratory, Department of Biological Sciences, State University of New York, at Albany, New York USA for using his licensed accessed BioRender for the diagrams sketching