case_images: PMC3835198_01
case_images: Plain films showing initial placement of total disc replacement.
case_images: CRIM.ORTHOPEDICS2013-676017.001.jpg
case_images: PMC3835198_01_CRIM.ORTHOPEDICS2013-676017.001.jpg
case_images: fig1
case_images: TDR at the L5/S1 disc space was performed as an elective procedure (Figure 1).
case_images: Plain radiograph showing a dislocated polyethylene inlay, but no pedicle fracture is seen.
case_images: CRIM.ORTHOPEDICS2013-676017.002.jpg
case_images: PMC3835198_01_CRIM.ORTHOPEDICS2013-676017.002.jpg
case_images: fig2
case_images: An emergency plain film X-ray identified an anterior dislocation of the polymer disc component (Figure 2).
case_images: Axial view of bilateral L5 pedicle fracture.
case_images: CRIM.ORTHOPEDICS2013-676017.003.jpg
case_images: PMC3835198_01_CRIM.ORTHOPEDICS2013-676017.003.jpg
case_images: fig3
case_images: A CT scan demonstrated the dislocated polymer disc abutting the left common iliac vein (but not the right common iliac vessels) with a small amount of inflammatory reaction and bilateral pars fractures with a grade 1 spondylolisthesis (Figures 3 and 4).
case_images: Sagittal view of L5 pedicle fracture.
case_images: CRIM.ORTHOPEDICS2013-676017.004.jpg
case_images: PMC3835198_01_CRIM.ORTHOPEDICS2013-676017.004.jpg
case_images: fig4
case_images: A CT scan demonstrated the dislocated polymer disc abutting the left common iliac vein (but not the right common iliac vessels) with a small amount of inflammatory reaction and bilateral pars fractures with a grade 1 spondylolisthesis (Figures 3 and 4).
case_images: Anterior fusion of L5/S1 with intervertebral cage and bone graft.
case_images: CRIM.ORTHOPEDICS2013-676017.005.jpg
case_images: PMC3835198_01_CRIM.ORTHOPEDICS2013-676017.005.jpg
case_images: fig5
case_images: The interbody fusion cage was packed with artificial bone substituted securely and fixed with two titanium locking screws passed through preformed screw holes into the vertebral endplates (Figure 5).
case_images: Bilateral lumbar fixation screws in the L5 vertebra.
case_images: CRIM.ORTHOPEDICS2013-676017.006.jpg
case_images: PMC3835198_01_CRIM.ORTHOPEDICS2013-676017.006.jpg
case_images: fig6
case_images: The percutaneous lumbar fixation screw used in this case (Figures 6, 7, and 8) is generally more robust than other small fragment screws.
case_images: Sagittal view of right lumbar fixation screw in situ.
case_images: CRIM.ORTHOPEDICS2013-676017.007.jpg
case_images: PMC3835198_01_CRIM.ORTHOPEDICS2013-676017.007.jpg
case_images: fig7
case_images: The percutaneous lumbar fixation screw used in this case (Figures 6, 7, and 8) is generally more robust than other small fragment screws.
case_images: Sagittal view of left lumbar fixation screw in situ.
case_images: CRIM.ORTHOPEDICS2013-676017.008.jpg
case_images: PMC3835198_01_CRIM.ORTHOPEDICS2013-676017.008.jpg
case_images: fig8
case_images: The percutaneous lumbar fixation screw used in this case (Figures 6, 7, and 8) is generally more robust than other small fragment screws.