E-Case report
Tumor Vertebral Fracture L1
Posterior fixation T10 – L3Miguel Alquiza, MD
Pre OP
Clinical Case – Tumor
Vertebral Fracture L1
Posterior fixation T10 – L3
Neo ADVISE™ Trauma module
Dr. Miguel Alquiza
Head of Spine Department
Evangelisches Waldkrankenhaus Spandau Berlin, Germany
Patient Information
Female 84 years old patient diagnosed with a tumor related vertebral fracture in L1
Poor bone quality due to the metastatic tumor.
Planned Surgery:
- General Anestesia
- Posterior fixation T10 – L3
- Minimally Invasive Surgery
- Percutaneous access
- Neo ADVISE™ application to be used
Pre OP CT sagittal
Intra OP
Posterior fixation with Neo Pedicle Screw System™
Totally 10 pedicle screws placed over the 6 vertebral levels T10 – L3
- 4 x Ø6.0×45 mm
- 4 x Ø7.0×50 mm
- 2 x Ø7.0×45 mm
- 2 x 130 mm titanium rods
K-wires to guide the placement of the pedicle screws, totally 10 screws inserted.
Cement augmentation: Osartis bone cement was used in most of the pedicle screws, 1ml per screw
DBM (Deminirealized Bone Matrix) used in the fractured L1 level
Usage of Neo ADVISE™
ADVISE™ Markers placed
Marker Scanning
Usage of Neo ADVISE™ trauma module
Rod selection
Titanium rods 2 x 130 mm straight
Rod bending using the rod visualization in the iPad screen as template for thesagittal plane.
Final tightening and screw extender removal
Post OP
Radiographs after final fixation of the posterior constructions
Duration of surgery: : 1h 45min
Published with the approval of
Dr. Miguel Alquiza