Zeng Hanbing,Wang Haibao,Xu Huazi,Chi Yonglong,Mao Fangmin,Wang Xiangyang.[J].Chin J Traumatol,2014,17(5):307-310. [doi]
Complete L5 burst fracture treated by 270-degree decompression and reconstruction using titanium mesh cage via a single posterior vertebrectomy
  
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KeyWord: Decompression  Spinal fractures  Lumbar vertebrae
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Author NameAffiliation
Zeng Hanbing Department of Orthopaedic Surgery, Taizhou Municipal Hospital, Taizhou 318000, Zhejiang Province, China 
Wang Haibao Department of Orthopaedic Surgery, Taizhou Municipal Hospital, Taizhou 318000, Zhejiang Province, China 
Xu Huazi Department of Orthopaedic Surgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China 
Chi Yonglong Department of Orthopaedic Surgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China 
Mao Fangmin Department of Orthopaedic Surgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China 
Wang Xiangyang Department of Orthopaedic Surgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China 
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Abstract:
      Complete burst fractures of the L5 is relatively uncommon. How to accomplish a rigid internal fixation as well as preserve motor function is an enormous challenge. We report such a case treated via a single posterior vertebrectomy with 270-degree decompression and reconstruction using titanium mesh cage. The disc between L5/S1 was preserved by placing the titanium mesh cage on the inferior endplate of the L5. We hope this method can offer a possible solution for other surgeons when they meet a similar fracture pattern.
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