lecture : costotransversectomy for t12 fx
TRANSCRIPT
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Upper Chesapeake Spine Conference
July 1, 2016
Costotransversectomy approach for T12 osteoporotic fracture with spinal cord injury
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78 year old womancc: paraparesisHPI: Fall 5/27/16 (2 weeks preop), admitted due to inability to walk. Baseline home ambulatory with walker independent at home. Admitted 6/7/16 due to inability to walkPHM: parkinsons, alzheimers, DM, CAD, EXAM: absent rectal tone, 2/5 motor BLE R weaker than left, unable to ambulate
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Screws broke at 7
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30% comminution, 30-60% comminution, >60% comminution
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Axial cut view: minimal separation of fragments, 2mm <50% area, >2mm >50%
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Kyphosis correction: <3%, 4-9%, >10%
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?best approach?
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Costotransversectomy approach
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Lateral extracavitary approach
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Thanks!