Improved Accuracy and Safety of Intracorporeal Transpedicular Bone Grafting - using Contrast Impregnated Bone: A Case Report
- Author:
CK Chiu
;
CYW Chan
;
MK Kwan
- Publication Type:Case Reports
- Keywords:
Spinal fractures;
operative surgical procedure;
bone transplantation;
contrast media
- MeSH:
Bone Transplantation
- From:Malaysian Orthopaedic Journal
2014;8(3):27-29
- CountryMalaysia
- Language:English
-
Abstract:
A method of transpedicular bone grafting using contrast
impregnated bone to improve the visualization of bone graft
on the image intensifier is reported. A - 36-year old man who
had sustained traumatic burst fracture of T12 vertebra, with
Load-Sharing Classification (LSC) score of 8, was treated
with posterior short segment fusion from T11 to L1 with
transpedicular bone graft of T12 vertebra. We were able to
correct the kyphotic end plate angle (EPA) from 19º to 1.4º.
Anterior bone graft augmentation was achieved with contrast
enhaced transpedicular bone grafts. At six months follow up,
CT scan showed good bony integration of the anterior
column with EPA of 4.5º and two years later, radiographs
showed EPA of 7.6 º.
- Full text:P020150526304628416731.pdf
