E-Case report

Tumor Vertebral Fracture L1
Posterior fixation T10 – L3
Miguel 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:

  1. General Anestesia
  2. Posterior fixation  T10 – L3
  3. Minimally Invasive Surgery
  4. Percutaneous access
  5. Neo ADVISE™ application to be used

Pre OP CT sagittal

marco grosso pre operation representation

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.

marco grosso pre operation representation

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

marco grosso pre operation representation

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