Open AccessA novel computer navigation model guided unilateral percutaneous vertebroplasty for vertebral compression fracture
Author(s) -
Haotian Xu,
Shuang Zheng,
Mingyang Kang,
Tong Yu,
Jianwu Zhao
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000022468
Subject(s) - medicine , vertebral compression fracture , percutaneous vertebroplasty , compression (physics) , percutaneous , fracture (geology) , radiology , surgery , vertebral body , materials science , composite material , geotechnical engineering , engineering
Rational: 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. Patient concerns: A 59-year-old female patient suffered high falling injury, and with back pain as its main clinical symptom. Diagnoses: The patient was diagnosed with a L1 VCF. Interventions: 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). Outcomes: 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. Lessons: 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.