E-Case report
Trauma Burst Fractures
T12 – B2.2
L1– A3Dr. 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
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.
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
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