CT- and fluoroscopy-guided percutaneous screw fixation of a 'carrot-stick' spinal fracture in an elderly man with ankylosing spondylitis
| Autor: | Laurent Huwart, Nicolas Amoretti |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Visual analogue scale Radiography Bone Screws Thoracic Vertebrae Fracture Fixation Internal Spinal fracture medicine Humans Fluoroscopy Spondylitis Ankylosing Radiology Nuclear Medicine and imaging Local anesthesia Aged 80 and over Ankylosing spondylitis medicine.diagnostic_test business.industry Interventional radiology medicine.disease Surgery Treatment Outcome Surgery Computer-Assisted Orthopedic surgery Spinal Fractures Radiology Tomography X-Ray Computed business |
| Zdroj: | Skeletal Radiology. 42:1767-1773 |
| ISSN: | 1432-2161 0364-2348 |
| DOI: | 10.1007/s00256-013-1684-6 |
| Popis: | We present a case of percutaneous fixation of a "carrot-stick" spinal fracture in an elderly patient with ankylosing spondylitis (AS). A surgical stabilization was not possible in this 83-year-old man with comorbidities. Under local anesthesia, percutaneous screw fixation of a transdiscal shear fracture at the level T10-T11 was performed using computed tomography (CT) and fluoroscopy guidance. Two 4.0-mm Asnis III cannulated screws were placed to fix facet joints using transfacet pedicle pathway. The procedure time was 30 min. Using the visual analog scale (VAS), pain decreased from 10, preoperatively, to 1 after the procedure. Radiographic fusion was observed at a 3-month post-procedural CT scan. CT- and fluoroscopy-guided percutaneous screw fixation of spinal fractures could potentially be an alternative to surgery in elderly AS patients with poor performance status. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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