title: Complete L₅ burst fracture treated by 270-degree decompression and reconstruction using titanium mesh cage via a single posterior vertebrectomy.
abstract: Complete burst fractures of the L₅ is relatively uncommon. How to accomplish a rigid internal fixation as well as preserve motor function is an enormous challenge. We report such a case treated via a single posterior vertebrectomy with 270-degree decompression and reconstruction using titanium mesh cage. The disc between L₅/S₁ was preserved by placing the titanium mesh cage on the inferior endplate of the L₅. We hope this method can offer a possible solution for other surgeons when they meet a similar fracture pattern.
authors.affiliation: Department of Orthopaedic Surgery, Taizhou Municipal Hospital, Taizhou 318000, Zhejiang Province, China.
authors.forename: Hanbing
authors.initials: H
authors.lastname: Zeng
authors.forename: Haibao
authors.initials: H
authors.lastname: Wang
authors.forename: Huazi
authors.initials: H
authors.lastname: Xu
authors.forename: Yonglong
authors.initials: Y
authors.lastname: Chi
authors.forename: Fangmin
authors.initials: F
authors.lastname: Mao
authors.forename: Xiangyang
authors.initials: X
authors.lastname: Wang
mesh_terms: D000328:Adult; D019299:Decompression, Surgical; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D016268:Internal Fixators; D008297:Male; D016103:Spinal Fractures / Q000601:surgery*; D013526:Surgical Mesh; D014025:Titanium
chemical_list: D014025:Titanium