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A male, 35 years old, was entering a fast food establishment carrying his child and was injured when a mat in the entranceway slipped due to an accumulation of water and/or other substances on the underlying floor causing him to violently twist in an attempt to avoid falling and potentially injuring his child. He sustained back injuries at the L3/L4, L4/L5 and L5/S1 levels which required a posterolateral intertransverse arthrodesis with pedicle screw segmental fixation, posterior lumber interbody fusion and placement of a prosthetic devise.