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The POSH - Pondy Ortho Speciality Hospital

Pondy Ortho Speciality Hospital

NABH
🦴 Spine Surgery · Case Report

L1 CompressionFracture Managed

A thoracolumbar compression fracture with 40% vertebral height loss treated at The POSH - Pondy Ortho Speciality Hospital, Pondicherry using posterior pedicle screw fixation — achieving 95% height restoration and full functional recovery with zero neurological deficit.

🦴 View Spine Surgery Case
🏗️ Fall from Height 🦴 Thoracolumbar L1 🔩 Pedicle Screw Fixation ✅ D12–L1–L2 Stabilized
📉
40%
Height Lost
95%
Height Restored
🔩
3
Vertebrae Fixed
L1 Compression Fracture X-ray SPINE SURGERY
0
Height Lost
0
Height Restored
0
Vertebrae Fixed
0
Neuro Deficit
🦴

The Fracture

Emergency Presentation

A patient presented to The POSH - Pondy Ortho Speciality Hospital, Pondicherry following a fall from height, complaining of severe back pain and difficulty in mobilization. Initial radiographs and MRI of the thoracolumbar spine revealed a critical finding.

Imaging demonstrated an L1 vertebral compression fracture with approximately 40% loss of vertebral body height. The significant collapse of the L1 vertebra indicated an unstable thoracolumbar injury requiring urgent surgical intervention to prevent irreversible neurological damage.

🦴
L1 Compression Fracture40% vertebral body height loss on imaging — unstable thoracolumbar injury requiring urgent surgical stabilization
📉
Vertebral CollapseSignificant L1 collapse from axial loading — burst fracture pattern with potential cord compromise
🧲
MRI ConfirmedRadiograph & MRI confirmed thoracolumbar instability — detailed surgical planning initiated immediately
⚠️
Neurological RiskEvery hour without stabilization risked cord compression — golden hour intervention was absolutely critical

"Severe back pain after a fall — every hour without stabilization risked irreversible neurological damage to the spinal cord."

Surgical Journey

Step-by-Step Surgical Management

Clinical Timeline
Spine
Surgery
01
🚑
Emergency Admission Patient admitted with severe back pain post fall — neuro exam performed, urgent MRI ordered
02
🔬
MRI & Imaging X-ray & MRI confirmed L1 fracture with 40% height loss — instability graded as surgical emergency
03
📋
Surgical Planning Posterior stabilization across D12, L1 & L2 planned — patient and family counselled, consent obtained
04
🔩
Pedicle Fixation Bilateral pedicle screws placed at D12, L1, L2 under fluoroscopy — rods connected, height restored
05
📡
Radiological Verify Post-op X-rays confirmed 95% height restoration — excellent implant positioning & alignment
06
🚶
Rehab & Discharge Physiotherapy from day 2, spinal brace fitted — patient walking independently, discharged pain-free
📸 Photo Highlights

Spine Surgery Case — Visual Journey

Hover any strip to pause · Clinical images from the actual case

L1 fracture pre-op MRI thoracolumbar Intra-operative Fluoroscopy Post-op xray Recovery
Outcome

Outcome & Recovery

Excellent Result
💚

"95% of vertebral height restored. Zero neurological deficit. Patient walking independently within days of surgery."

The procedure was performed successfully, achieving satisfactory fracture reduction and restoration of vertebral alignment. Post-operative radiographs demonstrated excellent implant positioning. The patient had good post-operative recovery with significant pain relief and improved spinal stability, allowing early mobilization and rehabilitation with no neurological compromise.

📐

95% Height Restored

Near-complete L1 vertebral height recovery

🧠

No Neuro Deficit

Full sensory & motor function intact

🚶

Early Mobilization

Walking independently from post-op day 2

🏠

Full Recovery

Discharged with complete spinal stability

👨‍⚕️

Our Medical Team

Spine Specialists
👨‍⚕️

Dr. Veerappan

Chief Orthopaedic & Spine Surgeon

👨‍⚕️

Dr. Dilip

Senior Anaesthesiologist

👨‍⚕️

Dr. Murugaraj

Chief Physiotherapist

👨‍⚕️

Spine Surgery Team

Dedicated Instrument & Nursing Staff

🔩 Precision Spine Surgery

The Right Implant.
The Right Expertise.

This case highlights the effectiveness of pedicle screw fixation in managing unstable thoracolumbar compression fractures — providing excellent restoration of vertebral height, spinal alignment, and functional recovery with zero neurological compromise.

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