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Archives of Orthopaedic and Trauma Surgery

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Open Access 01-02-2013 | Orthopaedic Surgery

Shortening spinal column reconstruction through posterior only approach for the treatment of unstable osteoporotic burst lumber fracture: a case report

Authors: Ahmed Shawky, Markus Kroeber

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 2/2013

Abstract

Study design

Case report.

Clinical question

This study reports if shortening reconstruction procedure through posterior approach only can be used in osteoporotic unstable fracture as well as post-traumatic burst fracture.

Methods

An 80-year-old female patient with unstable burst osteoporotic fracture of L1 underwent posterior approach corpectomy and shortening reconstruction of the spinal column by non-expandable cages.

Result

The surgery was uneventful, with average blood loss. Using of small profile cages has helped us to avoid root injury. Augmentation of the screw with cement and the compressive force applied to the spine column aids in obtaining a rigid construct with good alignment without any neurological complication.

Conclusion

Shortening reconstruction procedure through only posterior approach is a viable option in treating unstable osteoporotic fracture as well as post-traumatic fractures. Using non-expandable cage is advocated to avoid cage subsidence.

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Boss N, Abei M (2008) Spine disorder fundamental of diagnosis and treatment. Springer, Germany, p 943

Ayberk G, Ozvern MF, Altundal N et al (2008) Three column stabilization through posterior approach alone: transpedicular placement of distract able cage with transpedicular screw fixation. Neurol Med Chir (Tokyo) 48:8–14CrossRef

Haiyun Y, Rui G, Shucai D et al (2010) Three column reconstruction through single posterior approach for the treatment of unstable thoracolumbar fracture. Spine (Phila Pa 1976) 35:E295–E302CrossRef

Sasani M, Ozer AF (2009) Single stage posterior corpectomy and expandable cage placement for treatment of thoracic or lumber burst fractures. Spine (Phila Pa 1976) 34:E33–E40CrossRef

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Suzuki T, Abe E, Naohisa M et al (2012) Anterior decompression and shortening reconstruction with a titanium cage through a posterior approach alone for the treatment of lumber burst fractures. Asian Spine J 6(2):123–130PubMedCrossRef

10.

Kawahara N, Tomita K, Kobayashi T et al (2005) Influence of acute shortening on the spinal cord an experiment study. Spine (Phila Pa 1976) 30:613–620CrossRef

11.

Pflugmacher R, Schleicher P, Schaaefer J et al (2004) Biomechanical compression of expandable cages for vertebral body replacement in the thoracolumbar spine. Spine (Phila Pa 1976) 29:1413–1419CrossRef

Title: Shortening spinal column reconstruction through posterior only approach for the treatment of unstable osteoporotic burst lumber fracture: a case report
Authors: Ahmed Shawky
Markus Kroeber
Publication date: 01-02-2013
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 2/2013
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-012-1653-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Shortening spinal column reconstruction through posterior only approach for the treatment of unstable osteoporotic burst lumber fracture: a case report

Abstract

Study design

Clinical question

Methods

Result

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Study design

Clinical question

Methods

Result

Conclusion

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