E-Case report
Vertebral Compression Fracture L2Cav. Dr. med. Alessandro Rustia
Pre OP
Clinical Case – Vertebral Compression Fracture
Cav. Dr. med. Alessandro Rustia
Neurosurgeon
Zentrum für Gelenk- und Sportchirurgie
Klinik Pyramide am See
Zürich, Switzerland
Patient Information
- 86-year-old female patient was treated in January 2021 with a balloon kyphoplasty in level L2 due to a vertebral compression fracture.
- Shortly after she returned to the clinic because of persisting pain, and a stenosis was diagnosed.
- Bad bone quality, osteoporosis.
Pre OP Radiographs sagittal & frontal views
Pre OP MRIs sagittal view
Surgical Planning
-
Mini-open decompression
-
Mini-open fracture surgery
-
L1-L4 with fracture level intermediate pedicle screw in an old L3 fracture
Intra OP
Surgical Procedure
Intraoperative:
- Mini-Open approach
- General anesthesia
- Neo Pedicel Screw System™ instrumentation L1-L4
- L1 – 2 x Ø6.0 x 40mm
- L3 – 2 x Ø6.0 x 45mm
- L4 – 2 x Ø6.0 x 45mm
- Cement augmented screws
K-wires in level L1
Insertion pedicle screws L1
Cement Augmentation:
OSARTIS BonOs™,
1ml/ pedicle screw
Rod measuring & rod placing, left and right sides
Final tightening :
- Duration of surgery: 2.5h
- Hospital stay: 6 days
Post OP
Post OP Radiographs sagittal & frontal views
Post OP CT scan
Published with the approval of Dr. med. Alessandro Rustia