E-Case report
Distraction Fracture T8
Posterior fixation T6 – T10Martin H. Hessmann, PhD, MD
![](data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAA2YAAAEJAQAAAADXkwn1AAAAAnRSTlMAAHaTzTgAAAAySURBVHja7cEBAQAAAIIg/69uSEABAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAPBtx3gABXqRhawAAAABJRU5ErkJggg==)
![intro-Martin-H-Hessmann](https://neo-medical.com/wp-content/uploads/2023/03/intro-Martin-H-Hessmann.jpg)
Pre OP
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
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
![logo-klinikum-fulda](https://neo-medical.com/wp-content/uploads/2023/03/logo-klinikum-fulda.jpg)
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![photo-Martin-H-Hessmann](https://neo-medical.com/wp-content/uploads/2023/03/photo-Martin-H-Hessmann.jpg)
![Rectangle-11](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-11.png)
![Rectangle-10](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-10.png)
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
![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)
![pre-op-1 marco grosso pre operation representation](https://neo-medical.com/wp-content/uploads/2023/03/pre-op-1.png)
Pre OP CTs & x-ray sagittal
![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)
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
![intra-op-2](https://neo-medical.com/wp-content/uploads/2023/03/intra-op-2-1.jpg)
![ligne-2b](https://neo-medical.com/wp-content/uploads/2021/01/ligne-2b.png)
Usage of Neo ADVISE™ trauma module
![intra-op-3a marco grosso pre operation representation](https://neo-medical.com/wp-content/uploads/2023/03/intra-op-3a.jpg)
ADVISE™ scene analysis
![intra-op-3b marco grosso pre operation representation](https://neo-medical.com/wp-content/uploads/2023/03/intra-op-3b.jpg)
Mapping of the guides
![intra-op-3c marco grosso pre operation representation](https://neo-medical.com/wp-content/uploads/2023/03/intra-op-3c.jpg)
Confirming all guides are found and mapped
![Rectangle-10](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-10.png)
Usage of Neo ADVISE™ trauma module
![intra-op-4a](https://neo-medical.com/wp-content/uploads/2023/03/intra-op-4a.jpg)
Rod selection
Titanium rods 2 x 130 mm straight
![intra-op-4b](https://neo-medical.com/wp-content/uploads/2023/03/intra-op-4b.jpg)
Adjusting angle to be corrected: for this case -10° correction to close the fracture gap
![ligne](https://neo-medical.com/wp-content/uploads/2021/01/ligne.png)
Rod bending using the rod visualization in the iPad screen as template for both the sagittal and the coronal planes.
![intra-op-5 marco grosso pre operation representation](https://neo-medical.com/wp-content/uploads/2023/03/intra-op-5-1.png)
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
Videos are showing all steps using Neo ADVISE™ trauma module in both the left and the right side
![ligne](https://neo-medical.com/wp-content/uploads/2021/01/ligne.png)
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
Radiographs after final fixation of the posterior constructions
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![intra-op-6](https://neo-medical.com/wp-content/uploads/2023/03/intra-op-6.png)
![Rectangle-11](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-11.png)
![Rectangle-10](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-10.png)
Post OP
![ligne](https://neo-medical.com/wp-content/uploads/2021/02/ligne-e1613577992934.png)
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
![Post-op](https://neo-medical.com/wp-content/uploads/2023/03/Post-op.png)
![ligne-2b](https://neo-medical.com/wp-content/uploads/2021/01/ligne-2b.png)
Published with the approval of
Prof. Martin H Hessmann