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Transforaminal Interbody Impaction of Bone Graft to Treat Collapsed Nonhealed Vertebral Fractures with Endplate Destruction: A Report of Two Cases
Joint Authors
Wegner, Adam M.
Chou, Yu-Hsuan
Chang, Hsiao-Kang
Yin, Tsung-Cheng
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-02
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
A collapsed nonhealed vertebral fracture with endplate destruction is a challenging injury to address, as there is no single definitive treatment.
We present two cases using an innovative transforaminal grafting technique to treat these patients.
Case Presentation.
Case 1: a 72-year-old woman had nonunion of an L1 compression fracture with destruction of both endplates.
T12/L1 and L1/L2 transforaminal debridement and impaction of bone graft were performed followed by posterior instrumentation.
At three years follow-up, the fusion mass between T12/L1 and L1/L2 was solid and the patient had minimal pain.
Case 2: a 62-year-old woman had nonunion of an L1 burst fracture with destruction of the lower endplate.
Hemilaminectomy and transforaminal interbody impaction of bone graft was performed.
At three years follow-up, the patient had no back pain and a solid fusion.
In both cases, local kyphosis was corrected and fusion obtained.
Conclusions.
Collapsed nonhealed vertebral body fractures combined with endplate destruction can be successfully treated with a one-step posterior surgery consisting of transforaminal debridement and impaction of bone graft in combination with posterior pedicle instrumentation.
American Psychological Association (APA)
Wegner, Adam M.& Chou, Yu-Hsuan& Chang, Hsiao-Kang& Yin, Tsung-Cheng. 2020. Transforaminal Interbody Impaction of Bone Graft to Treat Collapsed Nonhealed Vertebral Fractures with Endplate Destruction: A Report of Two Cases. Case Reports in Orthopedics،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1150128
Modern Language Association (MLA)
Wegner, Adam M.…[et al.]. Transforaminal Interbody Impaction of Bone Graft to Treat Collapsed Nonhealed Vertebral Fractures with Endplate Destruction: A Report of Two Cases. Case Reports in Orthopedics No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1150128
American Medical Association (AMA)
Wegner, Adam M.& Chou, Yu-Hsuan& Chang, Hsiao-Kang& Yin, Tsung-Cheng. Transforaminal Interbody Impaction of Bone Graft to Treat Collapsed Nonhealed Vertebral Fractures with Endplate Destruction: A Report of Two Cases. Case Reports in Orthopedics. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1150128
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150128