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02-MARCH-2011  HASAN AL-SAYYED SALEM 31 YEARS  BURST FRACTURE L2 WITH BONY COMPRESSION.

Anamnesis

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The patient was admitted to Shmaisani hospital 01-March-2011 after falling from the 7th to the 5th floor 10 meters height. There was loss of consciousness for seconds with resultant burst fracture of L2 and fracture both bones midthird left forearm.

bullet CT lumbar spine done 01-March-2011 showing burst fracture of L2 with bony compression of the canal and fracture of the lamina of L2 with the left pedicle destroyed.
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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 L1-2-3 was performed. There was disruption of the intraspinous ligament between L2-3 and fracture of the L2 lamina. Using Expedium (Depuy Spine) 2 polyaxial transpedicular screws 6x40 mm were inserted to the L1 body. 2 monoaxial 6x40 mm transpedicular screws were inserted to L3 body and one screw to the right pedicle of L2 6x35 mm. Using slightly 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 Vitos bone chips 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 than 35% of the canal and the posterior elements were also fractured, for what surgery was needed.

 


 

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