E-Case report
Distraction Fracture T8
Posterior fixation T6 – T10Martin H. Hessmann, PhD, MD
Pre OP
Clinical Case – Distraction Fracture T8
Posterior fixation T6 – T10
Neo ADVISE™ Trauma module
Prof. Dr. Martin H. Hessmann
Orthopaedic/ Trauma Surgeon
Head of Trauma Department
Klinikum Fulda
Fulda, Germany
Patient Information
Male 75 years old patient sustained a vertebral distraction fracture in level T8.
Patient´s bone quality was good
Planned Surgery:
- Posterior fixation T6 – T10
- Lateral percutaneous access
- Fracture reduction T8 – plan was 10° correction
- Neo ADVISE™ trauma module to be used
Pre OP CTs & x-ray sagittal
Intra OP
Posterior fixation with Neo Pedicle Screw System™
Totally 8 pedicle screws placed over the 4 levels T6-T10
- T6 – 2 x Ø5.0×40 mm polyaxial
- T7 – 2 x Ø5.0×40 mm monoaxial
- T9 – 2 x Ø6.0×45 mm monoaxial
- T10 – 2 x Ø6.0×45 mm polyaxial
Usage of Neo ADVISE™ trauma module
ADVISE™ scene analysis
Mapping of the guides
Confirming all guides are found and mapped
Usage of Neo ADVISE™ trauma module
Rod selection
Titanium rods 2 x 130 mm straight
Adjusting angle to be corrected: for this case -10° correction to close the fracture gap
Rod bending using the rod visualization in the iPad screen as template for both the sagittal and the coronal planes.
Videos are showing all steps using Neo ADVISE™ trauma module in both the left and the right side
Radiographs after final fixation of the posterior constructions
Post OP
Post OP radiograph and CTs
- Intra OP Blood loss: 100 ml
- Duration of surgery: 90 min
- Neurological status: No neurovascular deficit
- Patient was discharged from the hospital after 9 days
Published with the approval of
Prof. Martin H Hessmann