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© The Author(s) 2019.Study Design A multicenter, pilot study, for radiological evaluation of thoracolumbar spine cracks was performed aided by the participation of 7 centers in Africa, Europe, Asia, and South America as an element of the AO Foundation network. Objectives To determine the interobserver variability for computed tomography (CT) scan-based evaluation of posterior ligament complex (PLC) injury in thoracolumbar cracks. Methods Forty-two observers including 1 major inv