• Ahmed Shawky and Markus Kroeber.
• Center for Spine Surgery, Hirslanden Clinic St. Anne, St. Anne Strasse, 32, 6003, Lucerne, Switzerland. ashawky2000@yahoo.com
• Arch Orthop Trauma Surg. 2013 Feb 1; 133 (2): 167169167-9.

Study DesignCase report.Clinical QuestionThis study reports if shortening reconstruction procedure through posterior approach only can be used in osteoporotic unstable fracture as well as post-traumatic burst fracture.MethodsAn 80-year-old female patient with unstable burst osteoporotic fracture of L1 underwent posterior approach corpectomy and shortening reconstruction of the spinal column by non-expandable cages.ResultThe surgery was uneventful, with average blood loss. Using of small profile cages has helped us to avoid root injury. Augmentation of the screw with cement and the compressive force applied to the spine column aids in obtaining a rigid construct with good alignment without any neurological complication.ConclusionShortening reconstruction procedure through only posterior approach is a viable option in treating unstable osteoporotic fracture as well as post-traumatic fractures. Using non-expandable cage is advocated to avoid cage subsidence.

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