E-Case report
Trauma Burst Fractures
T12 – B2.2
L1– A3Dr. med. Marco Grosso
![marco_grosso_intro](https://neo-medical.com/wp-content/uploads/2023/02/marco_grosso_intro-1.jpg)
Pre OP
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
Clinical Case – Trauma Fracture L1
Marco Grosso, MD
Orthopaedic & Trauma surgeon
Klinikum Forchheim
Clinic for Orthopaedic & Trauma surgery
Forchheim, Germany
![marco_grosso_logo_klinikum logo of Klinikum Forschheim-Fraenkische Schweiz](https://neo-medical.com/wp-content/uploads/2023/02/marco_grosso_logo_klinikum-300x90.jpg)
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![marco_grosso](https://neo-medical.com/wp-content/uploads/2023/02/marco_grosso-1-300x231.jpg)
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Patient Information
This young female patient, 32 years old, fell from a height of 3 meters while climbing.
She was diagnosed with fractures in the Thoraco-Lumbar junction area:
- T12 Burst fracture (AO – B2.2) with fracture of the right side processus articularis
- L1 Incomplete Burst fracture (AO – A3)
Both fractures involving the upper endplates and the posterior walls.
Other pathological conditions – chronic anemia
Intact neurological status
Reference:
Divi SN, Schroeder GD, Oner FC, et al. AOSpine-Spine Trauma Classification System: The Value of Modifiers: A Narrative Review With Commentary on Evolving Descriptive Principles. Global Spine J. 2019 May;9(1 Suppl):77S-88S.
Reference:
Divi SN, Schroeder GD, Oner FC, et al. AOSpine-Spine Trauma Classification System: The Value of Modifiers: A Narrative Review With Commentary on Evolving Descriptive Principles. Global Spine J. 2019 May;9(1 Suppl):77S-88S.
![marco_grosso_pre_op_12 marc grosso pre-operation pictographe](https://neo-medical.com/wp-content/uploads/2023/02/marco_grosso_pre_op_12.png)
![ligne-2b](https://neo-medical.com/wp-content/uploads/2021/01/ligne-2b-1.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
![marco_grosso_pre_op_2 marco grosso pre operation representation](https://neo-medical.com/wp-content/uploads/2023/02/marco_grosso_pre_op_2.png)
Pre OP CTs,
Sagittal & Coronal
T10-L2 MIS surgery was planned
using the Neo Pedicle Screw System™
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
Intra OP
![ligne](https://neo-medical.com/wp-content/uploads/2021/02/ligne-e1613577992934.png)
Surgical Procedure
The patient was intubated, general anesthesia, and placed in prone position for effective reduction of the fractures by the ligamentotaxis.
Intermediate screws were used in the fractured L1 vertebra.
Percutaneous pedicle screw fixation T10 – L2
- T10 – 2 x Ø6.0×40 mm polyaxial
- T11 – 2 x Ø6.0×40 mm monoaxial
- L1 – 2 x Ø6.0×35 mm monoaxial
- L2 – 1 x Ø6.0×45 mm polyaxial & 1 x Ø7.0×50 mm polyaxial
2 x 160 mm titanium rods
Duration of surgery: 1h40min
Total blood loss: 400 ml
![ligne-2b](https://neo-medical.com/wp-content/uploads/2021/01/ligne-2b.png)
Post OP
![marco_grosso_post_op marco grosso pre operation representation](https://neo-medical.com/wp-content/uploads/2023/02/marco_grosso_post_op.png)
Post OP Radiographs, sagittal and frontal views
The patient is discharged from the hospital after 8 days
Pain VAS:2 at discharge
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
Published with the approval of Dr. Marco Grosso, MD