Abstract

Fluoroscopic visualization of the thoracic spine sometimes may be challenging, especially in the upper thoracic spine, in osteoporotic bone and obese patients. In these cases, the use of neuronavigation systems may be helpful to increase the safety of screw placement. Hyperextension injuries of the thoracic spine are rare. This type of fracture is often associated with an underlying diagnosis of DISH or ankylosing spondylitis. Other associated spinal fractures as well as a high complication rate are noted with this type of injury. Hyperextension fractures are highly unstable and have to be stabilized 2 levels above and 2 levels below.

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