[Minimally invasive surgical management of a bi-pedicular vertebral compression fracture: a case report].

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  • Author(s): Pointet N;Pointet N; Bazin L; Bazin L; Augereau B; Augereau B
  • Source:
    The Pan African medical journal [Pan Afr Med J] 2022 Aug 08; Vol. 42, pp. 259. Date of Electronic Publication: 2022 Aug 08 (Print Publication: 2022).
  • Publication Type:
    Case Reports; English Abstract; Journal Article
  • Language:
    French
  • Additional Information
    • Transliterated Title:
      Traitement chirurgical mini-invasif d’une fracture vertébrale par compression avec atteinte bi-pédiculaire: rapport de cas.
    • Source:
      Publisher: African Field Epidemiology Network Country of Publication: Uganda NLM ID: 101517926 Publication Model: eCollection Cited Medium: Internet ISSN: 1937-8688 (Electronic) NLM ISO Abbreviation: Pan Afr Med J Subsets: MEDLINE
    • Publication Information:
      Original Publication: Kampala, Uganda : African Field Epidemiology Network
    • Subject Terms:
      Fractures, Compression*/diagnostic imaging ; Fractures, Compression*/surgery ; Spinal Fractures*/diagnostic imaging ; Spinal Fractures*/surgery ; Phthiraptera* ; Kyphoplasty*/methods ; Osteoporotic Fractures*; Male ; Animals ; Humans ; Middle Aged ; Minimally Invasive Surgical Procedures/methods ; Lumbar Vertebrae/surgery ; Treatment Outcome
    • Abstract:
      Vertebral compression fractures represent an important part of daily trauma in spine surgery. Their management is codified thanks to the different classifications available to us. The combination of a compression fracture and bi-pedicular involvement of the same vertebra usually leads to extensive surgical management. The main objective of this case report is to share our experience with a minimally invasive osteosynthesis technique performed on this type of fracture. The patient was 61 years old and fell from a 3.5 m high roof. Clinically, he had no sensory-motor deficit. He presented back pain at 8/10 on a visual analogue scale (VAS). The Computed tomography scan revealed a compression fracture of the 4 th lumbar vertebra (L4) type A.3 according to the AO classification. There was also bi-pedicular involvement of L4. He underwent minimally invasive surgical management consisting of a combination of kyphoplasty with percutaneous isolated bilateral intra-pedicular osteosynthesis. We observed a rapid sedation of the pain with a VAS of 2/10 at the first day and 0/10 at 3 months. Bone healing was achieved at 3 months on computed tomography (CT) scan. At 18 months, there was no evidence of secondary displacement of the material. Sagittal and frontal balance was satisfactory. The patient had returned to a clinical state like that prior to the accident. The aim of this case was to propose a less invasive surgical alternative for the management of bi-pedicular vertebral compression fractures. In this case, a combination of kyphoplasty with percutaneous isolated bilateral intra-pedicular osteosynthesis resulted in a rapid recovery after surgery and a return to the pre-accident condition.
      Competing Interests: Les auteurs ne déclarent aucun conflit d´intérêts.
      (Copyright: Nicolas Pointet et al.)
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    • Contributed Indexing:
      Keywords: Minimally invasive; case report; osteosynthesis; percutaneous; vertebral fracture
    • Publication Date:
      Date Created: 20221107 Date Completed: 20221108 Latest Revision: 20221108
    • Publication Date:
      20250114
    • Accession Number:
      PMC9617496
    • Accession Number:
      10.11604/pamj.2022.42.259.36516
    • Accession Number:
      36338565