SUMMARY
Deformation of the spine following vertebral compression fracture (VCF) can be associated with severe spinal dysfunction. Anatomical restoration is described as the complete reduction and stable fixation of the fracture with the goal to restore the pre-fracture local and global spine properties. A new 3D-imaging technique is described.A new assessment method based on CT scans 3D reconstructions was developed. This method was used to assess the anatomical restoration of the fractured vertebrae. A procedure consisted in placing two titanium expandable implants for fracture reduction and stabilized with a high viscosity PMMA cement was used to demonstrate the method.The cases presented here are demonstrating that this 3D-mapping software is a tool which can address the lack of valid, reproducible and user-friendly method to evaluate the anatomical restoration in VCF.The evaluation of the anatomical restoration of the fractured vertebrae raises some issues in terms of interpretation because of a lack of consensus in the existing reporting methods. A 3D-reconstruction method using CT scan and a newly-developed software is proposed to evaluate anatomical restoration in a clear, valid, reproducible and user-friendly method.