{"id":"767b4597-2082-460c-8101-a8e27dafc17a","slug":"technical-nuances-of-a-posterior-only-l5-vertebrectomy-with-anterior-column-reconstruction","title":"Technical nuances of a posterior-only L5 vertebrectomy with anterior column reconstruction","authors":["Lukasz Bogdan","Michael Galgano"],"abstract":"Background: Burst fractures involving the L5 vertebra are quite rare . They can be managed with anterior, posterior, or combined 360 approaches. Here, we report a 25-year-old female who presented with a traumatic cauda equina syndrome attributed to an L5 burst fracture following a motor vehicle accident, and who did well after a posterior-only decompression/fusion. Case Description: A 25-year-old female presented with a traumatic cauda equina syndrome attributed to an L5 burst fracture following a motor vehicle accident. She was treated with a posterior-only vertebrectomy and followed for 5 postoperative months. During this time, she experienced complete resolution of her preoperative neurological deficit and demonstrated radiographically confirmed spinal stability. Conclusion: One of the major pros for the all-posterior L5 corpectomy as in this case, was that the patient underwent a successful single-stage, single-position operation. However, the posterior-only L5 corpectomy approach is technically demanding, and only allows for the placement of a lower profile interbody cage.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/767b4597-2082-460c-8101-a8e27dafc17a/featured/hero-1781563094397.png","publishDate":"2020-10-08T00:00:00.000Z","doi":"10.25259/SNI_473_2020","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2020/10/10312/SNI-11-325.pdf"}