E-Case report
Tumor Fracture T5
Posterior fixation T2–T8Dr. David Giber
Pre OP
Clinical Case –
Tumor Fracture T5
Posterior fixation T2 – T8
Neo ADVISE™ Trauma module
Dr. David Giber
Orthopedic surgeon
AP-HP – Hôpital Universitaire Henri Mondor
Creteil, Paris – France
Planned Surgery:
Pre OP CT sagittal
Intra OP
Navigation of the jamshidi guide wires
Decompression & Laminectomy performed
Posterior fixation with Neo Pedicle Screw System™
Totally 12 pedicle screws placed over the vertebral levels T2 – T8
T2 – 2 x Ø5.0 x 35 mm – polyaxial
T3 – 2 x Ø5.0 x 35 mm – monoplanar
T4 – 2 x Ø5.0 x 35 mm – monoplanar
T6 – 2 x Ø5.0 x 35 mm – monoplanar
T7 – 2 x Ø4.5 x 35 mm – monoplanar
T8 – 2 x Ø5.0 x 40 mm – polyaxial
Cement augmentation of the pedicle screws in levels T2, T3 and T7, T8
Usage of Neo ADVISE™ trauma module
Scanning of the guide towers
Usage of Neo ADVISE™ trauma module
ADVISE™ trauma module
Rod selection: 160 mm straight
Pre OP kyphosis: 19°
Correction of 8° to have a residual Post OP kyphosis of 11°
Patient specific rod contouring integrating the targeted 8° correction and visulized in the iPad screen
Rod insertion without any constraint, this is beneficial considering the compromised bone quality of this patient.
Post OP
Radiographs after final fixation of the posterior construction
