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Updated: Jun 25, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Combined approach for a locked unilateral facet fracture-dislocation of the cervicothoracic junction
Bernhard Schmidt-Rohlfing1, Matthias Nossek, Matthias Knobe
1Department of Orthopaedic and Trauma Surgery, Aachen University Hospital, Pauwelsstrasse 30, 52074 Aachen, Germany. bernhard.schmidt@post.rwth-aachen.de
Abstract:
The authors present the case of a 36-year-old patient who sustained a unilateral fracture-dislocation C7-T1 involving all three columns, given the lesion of the C7-T1 disc on MRI. In view of the fractured facet, closed reduction without anaesthesia was not attempted. First, open reduction and instrumentation were performed from posteriorly. In a second operation, anterior fusion C7-T1 was added, using a tricortical bone graft and instrumentation. The authors felt that this three-column lesion at the cervicothoracic junction necessitated combined posterior-anterior stabilisation.
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