{"id":"41475e41-deea-4340-95ca-5ac22d7b5a1d","slug":"unique-hybrid-vertebral-shortening-technique-to-treat-acute-traumatic-thoracic-spondyloptosis","title":"Unique hybrid vertebral shortening technique to treat acute traumatic thoracic spondyloptosis","authors":["Oscar Bravo","Jimmy Luna","Tomás Barros","Guillermo Izquierdo","Felipe Novoa","Manuel Valencia"],"abstract":"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.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/41475e41-deea-4340-95ca-5ac22d7b5a1d/featured/hero-1781558480860.png","publishDate":"2025-07-04T00:00:00.000Z","doi":"10.25259/SNI_458_2025","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/41475e41-deea-4340-95ca-5ac22d7b5a1d/pdf"}