Xu Hao-Tian, Zheng Shuang, Kang Ming-Yang, Yu Tong, Zhao Jian-Wu
Department of Orthopedics, The Second Hospital of Jilin University, Changchun, Jilin Province, China.
Medicine (Baltimore). 2020 Oct 30;99(44):e22468. doi: 10.1097/MD.0000000000022468.
Vertebral compression fracture (VCF) is one of the most common diseases in spinal surgery. Traditional percutaneous vertebroplasty (PVP) under fluoroscopy is an effective method to treat vertebral compression fracture. However, there is still a risk of vascular nerve injury and infection caused by inaccurate or repeated puncture. Therefore, the purpose of this paper was to assess the accuracy of unilateral PVP guided by screw view model of navigation (SVMN) for VCF.
A 59-year-old female patient suffered high falling injury, and with back pain as its main clinical symptom.
The patient was diagnosed with a L1 VCF.
We placed the puncture needle under the guidance of SVMN to reach the ideal position designed before operation, and then injected the bone cement to complete the percutaneous kyphoplasty (PKP).
The operative time was 29.5 minutes, the puncture time was 1 time, the fluoroscopy time was 2.9 minutes, and the bone cement distribution was satisfactory. VAS and ODI scores were significant improved postoperatively. No surgical complications, including neurovascular injury and infection, were observed during 28-month follow up.
The SVMN guided percutaneous puncture needle insertion in PKP operation for VCF is an effective and safety technique. Besides, the SVMN has also been a contributor to reduce radiation doses and replace conventional fluoroscopy.
椎体压缩骨折（VCF）是脊柱外科最常见的疾病之一。传统的透视下经皮椎体成形术（PVP）是治疗椎体压缩骨折的有效方法。然而，仍存在因穿刺不准确或反复穿刺导致血管神经损伤和感染的风险。因此，本文旨在评估导航螺钉视图模型（SVMN）引导下的单侧PVP治疗VCF的准确性。
一名59岁女性患者因高处坠落受伤，以背痛为主要临床症状。
患者被诊断为L1椎体压缩骨折。
我们在SVMN引导下将穿刺针置入术前设计的理想位置，然后注入骨水泥完成经皮椎体后凸成形术（PKP）。
手术时间为29.5分钟，穿刺次数为1次，透视时间为2.9分钟，骨水泥分布满意。术后视觉模拟评分（VAS）和Oswestry功能障碍指数（ODI）显著改善。在28个月的随访期间未观察到包括神经血管损伤和感染在内的手术并发症。
SVMN引导下经皮穿刺针置入术用于VCF的PKP手术是一种有效且安全的技术。此外，SVMN还有助于减少辐射剂量并取代传统透视。
