title: Percutaneous screw fixation of a vertebral pedicle fracture under CT-guidance: a new technique.
abstract: We report on a new minimally invasive technique for the vertebral pedicle fracture after placement of a prosthetic disc. This intervention is an adaptation of CT-guided sacroiliac and acetabular fracture screw fixation. This type of procedure enables the perfect placement and measurement of the screw, as well as an extremely small incision under local anesthesia. CT guided Transpedicular fixation could be a useful strategy in the treatment of future cases involving poorly healing pedicle fractures causing persistent symptoms. This intervention confirms the range of capacities of CT scan-controlled interventions in terms of precision, safety, speed, minimal invasiveness, rapid return to everyday activity and consequently, economical management.
authors.affiliation: Radiology Department, Centre Hospitalier Universitaire de Nice, 06200 Nice, France. amorettinicolas@yahoo.fr
authors.forename: Nicolas
authors.initials: N
authors.lastname: Amoretti
authors.forename: Pierre-Yves
authors.initials: PY
authors.lastname: Marcy
authors.forename: Olivier
authors.initials: O
authors.lastname: Hauger
authors.forename: Patrick
authors.initials: P
authors.lastname: Browaeys
authors.forename: Marie-eve
authors.initials: ME
authors.lastname: Amoretti
authors.forename: Istvan
authors.initials: I
authors.lastname: Hoxorka
authors.forename: Pascal
authors.initials: P
authors.lastname: Boileau
mesh_terms: D000328:Adult; D001863:Bone Screws; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D017116:Low Back Pain / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D015641:Radiography, Interventional / Q000379:methods*; D016103:Spinal Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods*