E-Case report
Vertebral Compression Fracture T7
Posterior fixation T5 – T9 Simon Lang, MD
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Pre OP
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
Clinical Case – Vertebral Compression Fracture T7
Posterior fixation T5 – T9
Neo ADVISE™ Trauma module
Dr. Simon Lang
Orthopaedic/ Trauma Surgeon
Klinikum Fulda
Fulda, Germany
![logo-klinikum-fulda](https://neo-medical.com/wp-content/uploads/2023/05/logo-klinikum-fulda.jpg)
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![Simon-Lang](https://neo-medical.com/wp-content/uploads/2023/05/Simon-Lang.jpg)
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Patient Information
75-year old female patient suffered a vertebral compression fracture in T7
Osteoporotic bone quality
Planned Surgery:
- Posterior fixation T5 – T9
- Percutaneous MIS surgery
- Because of the osteoporotic bone quality all the pedicle screws will be cementaugmented
- Fracture reduction T7 – mono-axial screws in T6 & T8
- Neo ADVISE™ trauma module to be used
![pre-op-1](https://neo-medical.com/wp-content/uploads/2023/05/pre-op-1.jpg)
![ligne-2b-1-reverse](https://neo-medical.com/wp-content/uploads/2022/01/ligne-2b-1-reverse.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
Pre OP MRI
Sagittal & axial views
![pre-op-2](https://neo-medical.com/wp-content/uploads/2023/05/pre-op-2-1.png)
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
Intra OP
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
Access and first K-wires placed
![intra-op-1](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-1-1.png)
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
Pedicle screws insertion
![intra-op-2](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-2-1.png)
![intra-op-3](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-3.png)
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
![intra-op-4](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-4.jpg)
Posterior fixation with Neo Pedicle Screw System™
Totally 8 pedicle screws placed over the 4 levels T5 –T9
- T5 – 2 x Ø5.0×45 mm polyaxial
- T6 – 2 x Ø5.0×45 mm mono-axial
- T8 – 2 x Ø6.0×45 mm mono-axial
- T9 – 2 x Ø6.0×45 mm polyaxial
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
Cement augmentation is facilitated by the always cannulated and fenestratedNeo pedicle screws. Approx. 1.5 ml cement was injected per screw.
![intra-op-5](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-5.png)
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
Usage of Neo ADVISE™ trauma module
![intra-op-6](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-6.jpg)
ADVISE™ scene analysis
![intra-op-7](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-7.jpg)
![intra-op-8](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-8.jpg)
Mapping of of the guide towers
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
Results from using the Neo ADVISE™ trauma module in both the right and theleft side, with targetted angle adjustment 3° and 5°. Visualizations of the rods in both the sagittal and the coronal planes in the iPad screen.
![intra-op-10](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-10.png)
![intra-op-9](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-9.png)
Rod selection: 2 x Titanium rods 130mm straight straight.
![Rectangle-10](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-10.png)
Video is showing all steps using Neo ADVISE™ trauma module
![ligne-2b-1-reverse](https://neo-medical.com/wp-content/uploads/2022/01/ligne-2b-1-reverse.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
Rod bending using the rod visualization in the iPad screen as template for boththe sagittal and the coronal planes.
![intra-op-11](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-11.png)
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
Rod placement & Final set screw tightening
![intra-op-12](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-12.jpg)
![intra-op-13](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-13.png)
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
Radiographs after final fixation of the posterior construction and removal of the instrumentation.
![intra-op-14](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-14.jpg)
![intra-op-15](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-15.jpg)
![intra-op-16](https://neo-medical.com/wp-content/uploads/2023/05/intra-op-16.jpg)
![Rectangle-10](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-10.png)
Post OP
Post OP radiographs
- Intra OP Blood loss: 100 ml
- Duration of surgery: 90 min
- Patient was discharged from the hospital after 6 days
![post-op-1](https://neo-medical.com/wp-content/uploads/2023/05/post-op-1.jpg)
![post-op-2](https://neo-medical.com/wp-content/uploads/2023/05/post-op-2.jpg)
![ligne](https://neo-medical.com/wp-content/uploads/2021/01/ligne.png)
Published with the approval of
Dr. Simon Lang