Paz Flores Angel Oscar, Tanaka Masato, Heng Christian, Arataki Shinya, Komatsubara Tadashi
Department of Orthopedic Surgery, Okayama Rosai Hospital, Okayama, JPN.
Cureus. 2025 Jan 10;17(1):e77216. doi: 10.7759/cureus.77216. eCollection 2025 Jan.
Diffuse idiopathic skeletal hyperostosis (DISH) is a relatively common disease for elderly people, characterized by a tendency of ossification of ligaments and tendons. Spinal fracture in patients with diffuse idiopathic skeletal hyperostosis is a very unstable fracture and usually needs posterior long spinal fixation. Conventional pedicle screw fixation is the standard method for these ankylosed spines. However, with the traditional technique, screw loosening, screw pullout, implant failure, and nonunion are often encountered due to the osteoporotic bone. Recently, transdiscal screw fixation for this fracture was reported as a strong anchor for the osteoporotic spine. Furthermore, triangular fixation, which is the combination of transdiscal screws and downward screws, has reported excellent results for long posterior spinal fusion for adult spinal deformity. We present an 86-year-old male with severe low back pain due to an L1 fracture treated with a novel minimally invasive technique via delta fixation technique.
弥漫性特发性骨肥厚（DISH）是一种在老年人中相对常见的疾病，其特征是韧带和肌腱有骨化倾向。弥漫性特发性骨肥厚患者的脊柱骨折是一种非常不稳定的骨折，通常需要后路长节段脊柱固定。传统的椎弓根螺钉固定是这些强直脊柱的标准方法。然而，采用传统技术时，由于骨质疏松性骨，常出现螺钉松动、螺钉拔出、植入物失败和骨不连等情况。最近，有报道称这种骨折的经椎间盘螺钉固定是骨质疏松性脊柱的一种强力固定方式。此外，经椎间盘螺钉与向下螺钉相结合的三角形固定，在成人脊柱畸形的后路长节段脊柱融合中已报道有优异的效果。我们报告一例86岁男性，因L1骨折导致严重腰痛，采用新型微创技术通过三角固定技术进行治疗。
