caa a22 4500 445834102 CHVBK 20180317145325.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00586-011-1712-y doi (NATIONALLICENCE)springer-10.1007/s00586-011-1712-y Anterior, thoracoscopic-assisted reduction and stabilization of a thoracic burst fracture (T8) in a pregnant woman [Elektronische Daten] [Klaus Schnake, Matti Scholz, Andreas Marx, Reinhard Hoffmann, Frank Kandziora] Injuries of the spine in pregnant women are rare. Unstable fractures, incomplete neurological deficits and failed conservative treatment are indications for operative stabilization. So far, only posterior stabilization techniques performed during pregnancy have been published in case reports. This Grand Round case presentation describes a 24-year-old woman in the 19th week of gestation who was involved in a motorcycle accident as a pillion rider. Radiological examination revealed a complete burst fracture (type AO A3.3) of T8 with a slight, yet clinical unapparent narrowing of the spinal canal and a stable T5 fracture (type AO A1.2). Despite analgesia with morphine, conservative treatment failed and it was not possible to mobilize the patient. Hence, an anterior thoracoscopic-assisted reduction and stabilization in left lateral position with single lung ventilation was performed as the therapy of choice. Intraoperatively, the body of T8 was removed and plate was used to stabilize and reduce the fracture. Finally, a tricortical iliac bone graft was implanted into the bony defect. Intraoperative fluoroscopy was merely used to verify the positioning of the implants. Postoperative examination of the foetus revealed normal findings. The patient was discharged with paracetamol as residual pain medication. The degree of kyphosis of the T8 fracture was successfully reduced from 20° to 13° (segmental standard value 12°). Further clinical and radiological course of the patient was uneventful. If suitable implants are available and good bone structure exists, solely anterior thoracoscopic-assisted reduction and stabilization of an unstable thoracic burst fracture can be performed safely. In the present case, it was possible to avoid intraoperative prone positioning of the pregnant patient as well as reaching a minimum of radiation exposure. Springer-Verlag, 2011 Pregnancy nationallicence Burst fracture nationallicence Thoracolumbar spine nationallicence Anterior surgery nationallicence Thoracoscopic spine surgery nationallicence Schnake Klaus Center for Spinal Surgery and Neurotraumatology, BG Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt am Main, Germany aut Scholz Matti Center for Spinal Surgery and Neurotraumatology, BG Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt am Main, Germany aut Marx Andreas Department of Anesthesia, BG Unfallklinik Frankfurt am Main, Frankfurt am Main, Germany aut Hoffmann Reinhard Department of Trauma and Orthopedic Surgery, BG Unfallklinik Frankfurt am Main, Frankfurt am Main, Germany aut Kandziora Frank Center for Spinal Surgery and Neurotraumatology, BG Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt am Main, Germany aut European Spine Journal Springer-Verlag 20/8(2011-08-01), 1217-1221 0940-6719 20:8<1217 2011 20 586 https://doi.org/10.1007/s00586-011-1712-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1712-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Schnake Klaus Center for Spinal Surgery and Neurotraumatology, BG Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt am Main, Germany aut NATIONALLICENCE 700 1- Scholz Matti Center for Spinal Surgery and Neurotraumatology, BG Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt am Main, Germany aut NATIONALLICENCE 700 1- Marx Andreas Department of Anesthesia, BG Unfallklinik Frankfurt am Main, Frankfurt am Main, Germany aut NATIONALLICENCE 700 1- Hoffmann Reinhard Department of Trauma and Orthopedic Surgery, BG Unfallklinik Frankfurt am Main, Frankfurt am Main, Germany aut NATIONALLICENCE 700 1- Kandziora Frank Center for Spinal Surgery and Neurotraumatology, BG Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt am Main, Germany aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/8(2011-08-01), 1217-1221 0940-6719 20:8<1217 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer