E-Case report
Vertebral Compression Fracture T7
Posterior fixation T5 – T9 Simon Lang, MD
Pre OP
Clinical Case – Vertebral Compression Fracture T7
Posterior fixation T5 – T9
Neo ADVISE™ Trauma module
Dr. Simon Lang
Orthopaedic/ Trauma Surgeon
Klinikum Fulda
Fulda, Germany
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 MRI
Sagittal & axial views
Intra OP
Access and first K-wires placed
Pedicle screws insertion
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
Cement augmentation is facilitated by the always cannulated and fenestratedNeo pedicle screws. Approx. 1.5 ml cement was injected per screw.
Usage of Neo ADVISE™ trauma module
ADVISE™ scene analysis
Mapping of of the guide towers
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.
Rod selection: 2 x Titanium rods 130mm straight straight.
Video is showing all steps using Neo ADVISE™ trauma module
Rod bending using the rod visualization in the iPad screen as template for boththe sagittal and the coronal planes.
Rod placement & Final set screw tightening
Radiographs after final fixation of the posterior construction and removal of the instrumentation.
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
Published with the approval of
Dr. Simon Lang