So, reconstructive surgery for spinal fractures, it varies greatly depending upon where the fracture occurs. If it’s in the neck, a lot of times surgery is done through the front of the neck, back of the neck, or both if it’s very unstable. Similarly, if it’s in the low back or mid back, surgery can often be done just from the back, but sometimes requires surgery done in the front and the back depending upon the pressure of the nerves or how bad the fracture is.