Single Stage Posterior Lumbar-Sacral Reconstruction with Expendable Cage and Iliac Screw for Fifth Lumbar Fracture-Dislocation

Won-Seo Choi; Kyoung-Suok Cho; Sang-Bok Lee; Pill-Woo Huh; Do-Sung Yoo

doi:10.13004/kjnt.2013.9.2.135

Journal List > Korean J Neurotrauma > v.9(2) > 1058915

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Choi, Cho, Lee, Huh, and Yoo: Single Stage Posterior Lumbar-Sacral Reconstruction with Expendable Cage and Iliac Screw for Fifth Lumbar Fracture-Dislocation

Case Report

Korean J Nutr 2013;9(2):135-138.

Published online: 20 October 2013

DOI: https://doi.org/10.13004/kjnt.2013.9.2.135

Single Stage Posterior Lumbar-Sacral Reconstruction with Expendable Cage and Iliac Screw for Fifth Lumbar Fracture-Dislocation

Won-Seo Choi, MD, Kyoung-Suok Cho, MD, PhD, Sang-Bok Lee, MD, Pill-Woo Huh, MD, PhD, Do-Sung Yoo, MD, PhD

Department of Neurosurgery, Uijeongbu St. Mary's Hospital, The Catholic University College of Medicine, Uijeongbu, Korea

Address for correspondence: Sang-Bok Lee, MD Department of Neurosurgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine, 271 Cheonbo-ro, Ui-jeongbu 480-130, Korea Tel: +82-31-820-3024, Fax: +82-31-846-3117 E-mail: doctorwish@hanmail.net

Received 25 March 2013 Revised 30 July 2013 Accepted 30 July 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Fracture-dislocations of the fifth lumbar vertebra are rare. Treatment of L5 vertebra fractures depends on fracture type and neurological findings. The authors describe a single-staged surgical technique of only posterior circumferential decompression, spinal reconstruction with expandable cage insertion and instrument fixation.

Keywords: Burst fracture, Expandable cage, Fracture-dislocation, Fifth lumbar vertebra

References

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FIGURE 1.

A: Fracture of the fifth lumbar vertebra-lateral view. B: Fracture of the fifth lumbar vertebra-CT sagittal reconstruction.

FIGURE 2.

A: AP view after stabilization L4-S1-alar screw and Synex expandable cage. B: Lateral view after stabilization. C: CT scan 1 year after operation (sagittal reconstruction) shows fully decompressed canal and the presence of fused anterior reconstruction.

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