E-Case report
Vertebral Compression Fracture L2Cav. Dr. med. Alessandro Rustia
![main-rustia](https://neo-medical.com/wp-content/uploads/2021/10/main-rustia.jpg)
Pre OP
Patient Information
- 86-year-old female patient was treated in January 2021 with a balloon kyphoplasty in level L2 due to a vertebral compression fracture.
- Shortly after she returned to the clinic because of persisting pain, and a stenosis was diagnosed.
- Bad bone quality, osteoporosis.
![ligne-2b](https://neo-medical.com/wp-content/uploads/2021/01/ligne-2b-1.png)
![pre-op-1](https://neo-medical.com/wp-content/uploads/2021/10/pre-op-1-1.png)
Pre OP Radiographs sagittal & frontal views
![Rectangle-14](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-14.png)
![pre-op-2](https://neo-medical.com/wp-content/uploads/2021/10/pre-op-2-1.png)
Pre OP MRIs sagittal view
Surgical Planning
-
Mini-open decompression
-
Mini-open fracture surgery
-
L1-L4 with fracture level intermediate pedicle screw in an old L3 fracture
![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)
Surgical Procedure
Intraoperative:
- Mini-Open approach
- General anesthesia
- Neo Pedicel Screw System™ instrumentation L1-L4
- L1 – 2 x Ø6.0 x 40mm
- L3 – 2 x Ø6.0 x 45mm
- L4 – 2 x Ø6.0 x 45mm
- Cement augmented screws
![intra-1](https://neo-medical.com/wp-content/uploads/2021/10/intra-1.png)
K-wires in level L1
![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-3b](https://neo-medical.com/wp-content/uploads/2021/10/intra-3b.png)
Insertion pedicle screws L1
![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)
Cement Augmentation:
OSARTIS BonOs™,
1ml/ pedicle screw
![intra-3](https://neo-medical.com/wp-content/uploads/2021/10/intra-3.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-4](https://neo-medical.com/wp-content/uploads/2021/10/intra-4.png)
![Rectangle-11](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-11.png)
Rod measuring & rod placing, left and right sides
![Rectangle-15](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-15.png)
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
Final tightening :
- Duration of surgery: 2.5h
- Hospital stay: 6 days
![intra-5](https://neo-medical.com/wp-content/uploads/2021/10/intra-5.png)
![Rectangle-10](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-10.png)
Post OP
![Vector](https://neo-medical.com/wp-content/uploads/2021/01/Vector-3.png)
Post OP Radiographs sagittal & frontal views
![Rectangle-13](https://neo-medical.com/wp-content/uploads/2021/01/Rectangle-13.png)
![post-op](https://neo-medical.com/wp-content/uploads/2021/10/post-op.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 CT scan
![ligne-2b](https://neo-medical.com/wp-content/uploads/2021/01/ligne-2b-1.png)
Published with the approval of Dr. med. Alessandro Rustia