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Percutaneous Instrumented Spinal Fusion Utilizing Sextant Rod Insertion for a Lumbar Vertebral Body Fracture 2004

Savcenko, Vladimir, M.D., Wald, John, M.D., Dekutoski, Mark, M.D., Thielen, Kent, M.D., Friese, Jeremy, M.D.

Description of Objectives:
Internal posterior spinal fixation is a common surgical procedure performed for traumatic fractures of the lumbar spine. Despite the surgery’s proven success, patients often experience significant morbidity resulting in a prolonged convalescent period. Consequently, a minimally invasive procedure has the potential to reduce patient discomfort and facilitate a faster recovery.

The Sextant Rod Insertion System was designe d to minimize the approach-related morbidity of traditional lumbar pedicle fixation. The instrumentation uses CD HORIZONR M8 Multi Axial Screw implants and pre-contoured rods that are inserted percutaneously.

Our poster will illustrate posterior percutaneous fusion L3 to L5 for stabilization of a post-traumatic comminuted L4 fracture, performed jointly by Radiology and Orthopedic Surgery Staff in Radiology Suite. Pre-procedure CT images, as well as fluoroscopic and digital photographic images depicting the procedure itself will be presented.

Listing of Learning Points:

* Percutaneous Sextant Rod Insertion Illustration
* Indications and Contraindications (i.e. patient selection)
* Pre-operative considerations and planning
* Instruments and Implants, assembly
* Accessing and preparation of the pedicle
* Screw placement and extenders connection
* Passing the trocar and rod, final steps
* Technique theoretical advantages