Ilizarov external fixator for burst fracture of the lumbar spine: a case report.
A 50-year-old man presented with severe back pain and tenderness throughout the lumbar area after falling from a ladder. He had an unstable type-B burst fracture, with a spinal canal narrowing of 36% and an anterior height loss of 65%. His lower-limb neurological function was intact. An Ilizarov external spinal fixator was used; the pedicular half pins were inserted into the bilateral T11, T12, L2, and L3 pedicles; bilateral pedicular half pins were fixed at each level with external plates and rods. Postoperatively, the patient had a lordosis of 2 degrees and was able to walk 7 days later. The external fixator was removed at 10 weeks. Six years and 10 months after surgery, the patient had a kyphosis of 19 degrees that did not affect his activities of daily living.
Matsubara
H
H
Department of Orthopaedic Surgery, School of Medicine, Kanazawa University, Kanazawa, Japan.
Tsuchiya
H
H
Kawahara
N
N
Kobayashi
T
T
Morinaga
T
T
Tomita
K
K
D000058:Accidental Falls; D016267:External Fixators; D006801:Humans; D018889:Ilizarov Technique / Q000295:instrumentation*; D008159:Lumbar Vertebrae / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D016103:Spinal Fractures / Q000601:surgery*