E-Case report
Traumatic fractures (low impact) T6‑L4Dr. med. Stephan Bartels
Anna-Lena Löbig, MD
![case-AdolescentIdiopathic-Scoliosis](https://neo-medical.com/wp-content/uploads/2021/12/case-AdolescentIdiopathic-Scoliosis.png)
Pre OP
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
Clinical Case – Vertebral fractures T9, L1 & L2
Dr. med. Stephan Bartels
Anna-Lena Löbig, MD
Städtisches Klinikum Wolfenbüttel
Wolfenbüttel, Germany
![logo-Städtisches Klinikum Wolfenbüttel](https://neo-medical.com/wp-content/uploads/2021/12/logo-Stadtisches-Klinikum-Wolfenbuttel.png)
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![Dr. med. Stephan Bartels Dr. med. Anna-Lena Löbig](https://neo-medical.com/wp-content/uploads/2021/12/Dr.-med.-Stephan-Bartels-Dr.-med.-Anna-Lena-Lobig.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)
Patient Information
72 years old male patient suffering from Bechterew’s disease
Low impact vertebral fractures were diagnosed in T9, L1 and L2.
Pre OP CTs sagittal & frontal views of the Lumbar Spine
![ligne-2b](https://neo-medical.com/wp-content/uploads/2021/01/ligne-2b-1.png)
![intra-op-1](https://neo-medical.com/wp-content/uploads/2021/12/intra-op-1-1.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
![pre-op-2](https://neo-medical.com/wp-content/uploads/2021/12/pre-op-2.png)
Pre OP CTs sagittal & frontal views of the Thoraco-Lumbar Spine
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
Intra OP
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
MIS surgery, T6 – L4, stabilizing with posterior instrumentation using the Neo Pedicle Screw System™
![intra-op-2](https://neo-medical.com/wp-content/uploads/2021/12/intra-op-2.png)
![intra-op-1](https://neo-medical.com/wp-content/uploads/2021/12/intra-op-1-e1639522637788.png)
![Rectangle-10](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-10.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
![intra-op-3](https://neo-medical.com/wp-content/uploads/2021/12/intra-op-3.png)
Totally 20 pedicle screws implanted in 10 vertebral levels from T6 to L4.
- 4 x Ø5.0x45mm
- 4 x Ø5.0x50mm
- 4 x Ø6.0x50mm
- 6 x Ø6.0x55mm
- 2 x Ø7.0x55mm
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
Rod contouring, fitting and placement
Rod, titanium 400mm, straight. Reduced to 380mm
![intra-op-4](https://neo-medical.com/wp-content/uploads/2021/12/intra-op-4-1.png)
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![intra-op-5-A](https://neo-medical.com/wp-content/uploads/2021/12/intra-op-5-A.png)
Final tightening
![intra-op-5-B](https://neo-medical.com/wp-content/uploads/2021/12/intra-op-5-B.png)
Small MIS incisions to be sutured
![Rectangle-11](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-11.png)
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
Post OP
Post OP Radiographs frontal view
![post-op-2](https://neo-medical.com/wp-content/uploads/2021/12/post-op-2.png)
![post-op-1](https://neo-medical.com/wp-content/uploads/2021/12/post-op-1.png)
![post-op-3](https://neo-medical.com/wp-content/uploads/2021/12/post-op-3.png)
![ligne-2b](https://neo-medical.com/wp-content/uploads/2021/01/ligne-2b-1.png)
Post OP Radiographs sagittal view
![post-op-4](https://neo-medical.com/wp-content/uploads/2021/12/post-op-4.png)
![ligne](https://neo-medical.com/wp-content/uploads/2021/01/ligne.png)
Published with the approval of
Dr. med. Stephan Bartels &
Anna-Lena Löbig, MD