Posterior reduction of a pathologic spinal fracture. A case of indirect anterior dural decompression.
In a patient with paraparesis resulting from a pathologic fracture of Th9, which was due to a breast cancer metastasis, indirect anterior decompression via posterior reduction was performed. The rationale for the operation technique was the similarity between a pathologic fracture of the thoracolumbar spine and a traumatic burst fracture. The method, which uses a transpedicular reduction and fixation device, is substantially less invasive than a formal anterior decompression.
Olerud
C
C
Department of Orthopedics, Uppsala University Hospital, Sweden.
Sjöström
L
L
Jonsson
H
H
Karlström
G
G
D000328:Adult; D001943:Breast Neoplasms / Q000473:pathology; D005260:Female; D005598:Fractures, Spontaneous / Q000601:surgery*; D006801:Humans; D009362:Neoplasm Metastasis; D013117:Spinal Cord Compression / Q000209:etiology / Q000601:surgery; D016103:Spinal Fractures / Q000150:complications / Q000601:surgery*; D013125:Spinal Neoplasms / Q000378:metabolism; D013904:Thoracic Vertebrae / Q000293:injuries*