E-Case report
Tumor Fracture T5
Posterior fixation T2–T8Dr. David Giber
![](data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAA2YAAAEJAQAAAADXkwn1AAAAAnRSTlMAAHaTzTgAAAAySURBVHja7cEBAQAAAIIg/69uSEABAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAPBtx3gABXqRhawAAAABJRU5ErkJggg==)
![premiere-page](https://neo-medical.com/wp-content/uploads/2023/05/premiere-page.jpg)
Pre OP
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
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
![logo](https://neo-medical.com/wp-content/uploads/2023/05/logo-300x97.png)
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![photo](https://neo-medical.com/wp-content/uploads/2023/05/photo-246x300.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)
Planned Surgery:
![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 CT sagittal
![PRE-OP marco grosso pre operation representation](https://neo-medical.com/wp-content/uploads/2023/05/PRE-OP.png)
![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)
Navigation of the jamshidi guide wires
Decompression & Laminectomy performed
![INTRA OP](https://neo-medical.com/wp-content/uploads/2023/05/INTRA-OP-1.png)
![INTRA OP2](https://neo-medical.com/wp-content/uploads/2023/05/INTRA-OP2.png)
![INTRA OP3](https://neo-medical.com/wp-content/uploads/2023/05/INTRA-OP3.png)
![ligne-2b](https://neo-medical.com/wp-content/uploads/2021/01/ligne-2b.png)
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
![INTRAOP](https://neo-medical.com/wp-content/uploads/2023/05/INTRAOP.png)
![Rectangle-10](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-10.png)
Cement augmentation of the pedicle screws in levels T2, T3 and T7, T8
![INTRAOP 2](https://neo-medical.com/wp-content/uploads/2023/05/INTRAOP-2.png)
![ligne](https://neo-medical.com/wp-content/uploads/2021/01/ligne.png)
Usage of Neo ADVISE™ trauma module
![INTRAOP 3](https://neo-medical.com/wp-content/uploads/2023/05/INTRAOP-3.png)
Scanning of the guide towers
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
Usage of Neo ADVISE™ trauma module
![INTRAOPE](https://neo-medical.com/wp-content/uploads/2023/05/INTRAOPE.png)
ADVISE™ trauma module
Rod selection: 160 mm straight
Pre OP kyphosis: 19°
Correction of 8° to have a residual Post OP kyphosis of 11°
![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)
Patient specific rod contouring integrating the targeted 8° correction and visulized in the iPad screen
![INTRAOPE1](https://neo-medical.com/wp-content/uploads/2023/05/INTRAOPE1-1.png)
Rod insertion without any constraint, this is beneficial considering the compromised bone quality of this patient.
![INTRAOPE](https://neo-medical.com/wp-content/uploads/2023/05/INTRAOPE-1.png)
![ligne-2b](https://neo-medical.com/wp-content/uploads/2021/01/ligne-2b.png)
Post OP
Radiographs after final fixation of the posterior construction
![POST OPE1](https://neo-medical.com/wp-content/uploads/2023/05/POST-OPE1.png)
![Rectangle-10](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-10.png)