Case study: uCentum^TM

Stabilization of a massive disc herniation T12/L1 and segmental instability with posterior fixator

PD Dr. med. Erich Kast Neurosurgeon and Specialist in Interventional Pain Therapy, Inpatient Physician of the Hirslanden Hospitals, Zürich, Switzerland (Created in 2014)

"The uCentum^TM fixation system used is characterized above all by its high degree of versatility along with easy application. The same screw type can be placed in an open fashion, in a minimally invasive fashion using a guide wire, or in a purely percutaneous fashion. Cementing can be done at any time – even retroactively. The modular design also allows the most complex situations in spinal surgery to be sufficiently stabilized."

PD Dr. med. Erich Kast Neurosurgeon and Specialist in Interventional Pain Therapy, Inpatient Physician of the Hirslanden Hospitals, Zürich, Switzerland

Symptoms
A 78-year-old female patient complained of major pain in the left hip and leg as well as significant left hip flexion weakness.

Diagnosis
Using diagnostic imaging procedures, relevant coxarthrosis was able to be ruled out. The MRI of the lumbar spine showed massive degeneration of the entire lumbar spine with spontaneous fusion of L1/L2, degenerative anterolisthesis of T12/L1 with massive disc herniation, sequestered cranially to the left. Significant spinal cord compression and foraminal stenosis of T12 on the left were seen as a result of this. Due to the pain symptoms that were not able to be controlled, the patient preferred a rapid surgical intervention.

You will find the therapy used, including preoperative imaging, in our case study for download.

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