A, Typical burst fracture at C5 with retropulsed bone and disc fragments in spinal canal compressing neural elements. B, Disc material above and below fractured vertebra has been removed, and high-speed power burr is used to remove bone back to level of posterior longitudinal ligament. C, Residual posterior vertebral margin is removed with small curet to decompress neural elements. D, Extent of anterior cervical corpectomy. E, Placement of tricortical iliac crest graft or fibular allograft after adequate cervical decompression. SEETECHNIQUE 41.14.