Posterior Reconstruction of Vertebral Body using Expandable Cage for L5 Burst Fracture Dislocation: Case Report

What to Learn from this Article?

Management of Lumbar Burst Fracture Using Posterior Only Approach with Expandable Cage.
Case Report |  Volume 4 | Issue 2 | JOCR April-June 2014 | Page 5-9 | Padalkar P, Virani N, Kathare A.  DOI: 10.13107/jocr.2250-0685.157
Authors: Padalkar P[1,2], Virani N[2], Kathare A[1]
[1] Center for Orthopaedics and Spine Surgery, 204A , Neel Enclave, Sec 9, Khanda Colony, New Panvel – 410206. India.
[2] MGM Institute of Health Sciences ,Sector 9, Kamothe Navi Mumbai. 410209. India.
Address of Correspondence:
Dr. Pravin Padalkar , Center for Orthopaedics and Spine Surgery, 204A , Neel Enclave, Sec 9, Khanda Colony, New Panvel – 410206. India. Email: drpravinpadalkar@yahoo.com
Abstract
Introduction: A case of young male patients aged 25 years old presented with history of injured from falling heavy object on his back. There was burst Fracture of L5 Vertebrae with grade 3 spondylolisthesis. It was completely different from the types of L5 fracture that had been published up to now. Our patient had combination of a complete burst fracture of the fifth lumbar vertebra with dislocation and complete disruption of the posterior ligamantous and bony complex between L5 and sacrum. We would like to report this unique case of comminuted burst fracture of L5 with grade III spondylolisthesis treated with reconstruction of L5 body from transforaminol approach with the good results & significant neurological improvement till his six month follow up after the operation.