E-Case report

Trauma Burst Fractures
T12 – B2.2
L1– A3
Dr. med. Marco Grosso

Pre OP

Clinical Case – Trauma Fracture L1

Marco Grosso, MD
Orthopaedic & Trauma surgeon
Klinikum Forchheim
Clinic for Orthopaedic & Trauma surgery
Forchheim, Germany

logo of Klinikum Forschheim-Fraenkische Schweiz

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.

marc grosso pre-operation pictographe
marco grosso pre operation representation

Pre OP  CTs,
Sagittal & Coronal

T10-L2 MIS surgery was planned
using the Neo Pedicle Screw  System™

Intra OP

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

Post OP

marco grosso pre operation representation

Post OP Radiographs, sagittal and frontal views

The patient is discharged from the hospital after 8 days
Pain VAS:2 at discharge

Published with the approval of Dr. Marco Grosso, MD