Lindtner RA, et al. - Experts evaluated the feasibility, outcome and potential pitfalls of monosegmental anterior column reconstruction (ACR) using a vertebral body replacement device (VBRD). In addition, clinical and radiological outcome of monosegmental ACR was related to that of bisegmental ACR using the same thoracoscopic technique. They noted that in thoracolumbar burst fractures, monosegmental ACR using a VBRD was feasible if the inferior endplate was intact (incomplete burst fractures) or featured only a single simple split fracture line (burst-split fractures). Findings suggested that monosegmental ACR could be a viable alternative to bisegmental ACR in selected thoracolumbar burst fractures to spare a motion segment and to reduce the distance for bony fusion if the 2 identified pitfalls were avoided.