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Unique hybrid vertebral shortening technique to treat acute traumatic thoracic spondyloptosis
Oscar Bravo1, Jimmy Luna2, Tomás Barros2
1Department of Traumatology, Mutual de Seguridad, Santiago, Chile.
Background:
Vertebral shortening is an emerging treatment for traumatic vertebral dislocations, traditionally performed through open posterior or combined approaches. This case introduces a novel technique integrating vertebral shortening with minimally invasive surgery (MIS) in the acute setting.
Case Description:
A 51-year-old male sustained a T8-T9-T10 dislocation and complete spinal cord injury (SCI) American Spinal Injury Association (ASIA) Impairment Scale, following a motor vehicle accident. Surgery was delayed 48 h for hemodynamic stabilization, and then, a hybrid approach was performed: percutaneous fixation (T6-T12), mini-open T9 vertebrectomy, and T8-T10 compression. He had no postoperative neurological recovery, no perioperative complications, and imaging confirmed correct spinal alignment fixation and fusion.
Conclusion:
MIS for spinal shortening and fixation in severe dislocations achieved the same goals as traditional open surgery while reducing perioperative complications.
