Two times unlucky: treatment of repeated adjacent vertebral fractures following posterolateral interbody fusion.
Posterolateral interbody fusion with cages and posterior fixation is a widespread, accepted method in the treatment of lumbar instability with and without spinal stenosis. Adjacent level instability was occasionally detected in the neighbouring discs. A fracture of the adjacent vertebral body including the upper disc was not reported in the literature. The authors describe a case of a female patient with two time fractures in the adjacent levels-nontraumatic and traumatic-after posterolateral fusion. Recommendations regarding the operative treatment were given.
Department of Neurosurgery, Centre of Trauma and Burn injuries, Städtisches Klinikum St. Georg Leipzig, Delitzscher Str. 141, 04129 Leipzig, Germany. oliver.sorge@sanktgeorg.de
O
O
Sorge
L
L
Günther
E
E
Strasser
R H
RH
Gahr
D000368:Aged; D001843:Bone Cements / Q000627:therapeutic use; D019299:Decompression, Surgical / Q000009:adverse effects*; D005260:Female; D050815:Fractures, Compression / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods; D011859:Radiography; D013117:Spinal Cord Compression / Q000209:etiology / Q000601:surgery; D016103:Spinal Fractures / Q000209:etiology / Q000601:surgery*; D013123:Spinal Fusion / Q000009:adverse effects*; D013130:Spinal Stenosis / Q000601:surgery
D001843:Bone Cements