Fam, Sze Khiong and Chiu, Chee Kidd and Chan, Chris Yin Wei and Kwan, Mun Keong (2024) Optimizing the distal anchorage in stabilization for the traumatic adjacent lumbar vertebra fracture in an adolescent idiopathic scoliosis patient who had posterior spinal fusion: a novel surgical technique. ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA, 58 (4). pp. 244-246. ISSN 1017-995X, DOI https://doi.org/10.5152/j.aott.2024.23137.
Full text not available from this repository.Abstract
The incidence of traumatic spine fractures (TSF) is increasing worldwide, with a reported annual incidence of up to 32.8 per 100 000 persons. However, there are only a few cases of spine fractures reported in adolescent idiopathic scoliosis (AIS) patients after posterior spinal fusion (PSF) in the literature. Fractures adjacent to fusion blocks that extend into the lower lumbar spine pose a unique challenge as stabilization of such fractures might require an extension of instrumentation to L5 or the pelvis. We report a novel surgical technique where bilateral pedicle and cortical screws at L4 and supplementary rods that connect the cortical screws to the main rods via dominos were implemented for optimizing the distal anchorage for TSF stabilization following an L3 Chance fracture in an AIS patient who had undergone T4-L2 posterior spinal fusion.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | Adolescent idiopathic scoliosis; High-energy trauma; Traumatic spine fracture; Adjacent vertebra fracture; Short-segment fusion |
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Medicine > Orthopaedic Surgery Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 25 Mar 2025 02:04 |
| Last Modified: | 25 Mar 2025 02:04 |
| URI: | http://eprints.um.edu.my/id/eprint/46846 |
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