Chávez LJA, Chávez CRD, Tzab CEA, Méndez HA, Villaseńor RS

Language: Spanish
References: 22
Page: 327-333
PDF size: 1878.93 Kb.

ABSTRACT

Introduction: vertebral corpectomies are commonly used for the treatment of osteomyelitis, tumor debulking, and compression fractures. Lumbar corpectomy approaches can be classified as anterolateral (AL) and posterolateral (PL). Traditionally, the AL approach is considered the gold standard for accessing the anterior lumbar spine, as it provides direct visualization of the vertebral body. Case description: a female in her fifties presented to the emergency department on the same day of the fall with a traumatic wedge compression fracture of L1 and L3. Twenty four hours after the fall, a transpsoas lumbar corpectomy was performed, as well as anterior column reconstruction with an expandable cage and lateral screw instrumentation to correct a kyphotic deformity at the L3 fracture, and L1 kyphoplasty using a minimally invasive technique. The patient was mobilized out of bed on the second day after the surgical event and experienced significant postoperative pain relief. The patient presented one month after the surgical procedure with no additional abnormalities and was followed up monthly. Conclusion: less perioperative and postoperative morbidity was achieved. In this case, the transpsoas approach also allowed for early mobilization, adequate postoperative biomechanical stability, and good immediate results.

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