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01-MARCH-2011  IYAD RAYEQ ALSOOS  31 YEARS  BURST FRACTURE L3 WITH BONY COMPRESSION.

Anamnesis

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The patient was admitted to Shmaisani hospital 28-February-2011 after falling inside the the falling escalator for 10 meters height. There was loss of consciousness for seconds with resultant burst fracture of L3.

bullet CT lumbar spine done 28-February-2011 showing burst fracture of L3 with bony compression of the canal.
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On examination: The patient  has bruises in several parts of his body and he was neurologically free.

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Using image-intensifier, skeletonization of L2-3-4 was performed. There was no evident fracture of the posterior elements, nor disruption of the ligamental structures. There was only fracture of the tip of the right L4 transverse process. Using Expedium (Depuy Spine) 2 polyaxial transpedicular screws 6x40 mm were inserted to the L2 body. 2 monoaxial 6x45 mm transpedicular screws were inserted to L4 body. Using bended rods 85 mm length were inserted and reduction with fixation was achieved. The bony alignments reduced properly. Cross bar was added for more stability  with bone graft  βTCP 40 cc were used lateral to the rods.

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Routine closure of the wound. Smooth postoperative recovery.


Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

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The fracture is unstable one and compressing the dura more more than 60% of the canal, for what surgery was needed.


 

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