Moribund 81-year-old patient following low energy fall. Besides cardiomyopathy, significant lung fibrosis excluded extensive surgical therapy. The individualized treatment plan was defined as minimal invasive ORIF of the anterior column + posterior hemi-transverse fracture. Minimal invasive surgery was conducted using a cannulated 7.3 mm screw. The postoperative AP view was acquired on the intensive care unit (ICU). No additional follow-up could be conducted, the patient passed away two months following surgery in the rehabilitation unit.