36-year-old male patient after RTA with a burst fracture of L1 (AO type A3) and associated bilateral calcaneal fracture with Frankle grade E. Patient was operated on the fifth day after trauma using USS. (a, b) Axial and sagittal CT scan delineating the burst fracture at L1; (c–e) lateral and AP X-rays after one-year follow-up showing good preservation of the vertebral height and sagittal angular alignment.