Complete T2 ASIA lesion due to old traumatic fracture presenting as a pathological fracture is an unusual presentation requiring multidisciplinary and holistic approach. Mixed lytic and sclerotic lesions of vertebra is commonly a feature of pathological fracture,but can sometimes be associated with traumatic fracture. Being aware of this as a potential differential diagnosis of such bony lesion on CT scan, although rare, significantly obviates the delay in diagnosis and management.