alexa Transmanubrial Approach for Fracture of Lower Cervical
ISSN: 2165-7939

Journal of Spine
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Case Report

Transmanubrial Approach for Fracture of Lower Cervical Spine (C7) in Elderly Patients: A Case Report

Maximilian Leiblein*, Helmut Laurer, André El Saman, Simon Meier Ingo Marzi and Anna-Lena Sander

Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Goethe University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany

Corresponding Author:
Maximilian Leiblein
M.D., Department of Trauma, Hand and
Reconstructive Surgery, University Hospital of the Goethe University,
Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
Tel: 069 6301 6123
Fax: 069 6301 6439
E-mail: [email protected]

Received date: June 20, 2016; Accepted date: June 28, 2016; Published date: June 30, 2016

Citation: Leiblein M, Laurer H, Saman AEl, Marzi SMI, Sander AL (2016) Transmanubrial Approach for Fracture of Lower Cervical Spine (C7) in Elderly Patients: A Case Report. J Spine 5:316. doi:10.4172/2165-7939.1000316

Copyright: © 2016 Leiblein M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Background: Fractures of the cervical spine are a frequent injury in the elderly with potentially devastating consequences. In most cases surgical therapy is required, in hyperextension fractures most often with anterior cervical fusion.

Methods: We report a case of an 88-year old patient with a fracture of C7 (AO-type B3) who underwent anterior cervical fusion with manubrium sterni osteotomy for application of the caudal screws.

Results: The insertion-angle of the caudal screws could be optimized; a dorsal instrumentation could be spared.

Conclusion: We want to describe a technique that potentially simplifies addressing the vertebral bodies of the cervicothoracic junction for anterior cervical fusion in patients with difficult anatomical conditions and allows a safe and stable insertion of the caudal screws.

Level of evidence: Level V (case report).

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