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.
Sorge
O
O
Department of Neurosurgery, Centre of Trauma and Burn injuries, Städtisches Klinikum St. Georg Leipzig, Delitzscher Str. 141, 04129 Leipzig, Germany. oliver.sorge@sanktgeorg.de
Günther
L
L
Strasser
E
E
Gahr
R H
RH
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