Author(s)

Wanqian Zhang , Xiangfu Wang , Huihui Zheng, Weiguo Chen , Heng Zhao, Xiangyu You , Huanying Yang and Gang Zheng

Corresponding Author

Xiangfu Wang

Abstract

Abstract: To conduct discussions on the feasibility and safety in the treatment of lumbar burst fractures by percutaneous spinal endoscopy.Method: 1 case of patient with lumbar burst fracture by treatment with percutaneous spinal endoscopy. Percutaneous pedicle screws and pedicle connecting rods were placed during the operation, and the fractured vertebral body was recovered.The loose bone was removed with the assistance of percutaneous spinal endoscopy and the fractured bone was driven into the vertebral body.X-ray and CT were performed 3 days after the operation to investigate whether there were residual bone blocks in the spinal canal so as to determine whether good decompression of the spinal canal was obtained and stability of the spine was reconstructed.Results: The minimally invasive surgery was successfully conducted for the patient, 3D postoperative CT review showed that the fracture vertebral body reduction was ideal,positions of pedicle screw were in good condition without perioperative adverse reactions and surgical complications.Good decompression of spinal canal and reconstruction of spinal stability are beneficial to the recovery of functions of spinal nerve.Conclusion: Percutaneous spinal endoscopy is endowed with characteristics in safety, minimally invasive and effectiveness in the treatment of lumbar burst fractures. It can be used as a minimally invasive surgical method for lumbar fracture.

Keywords

Keywords: Percutaneous Endoscopic Spinal Surgery; Percutaneous Pedicle Screw Technology; Burst Fracture of Lumbar Spine