• Hao-Tian Xu, Shuang Zheng, Ming-Yang Kang, Tong Yu, and Jian-Wu Zhao.
• Department of Orthopedics, The Second Hospital of Jilin University, Changchun, Jilin Province, China.
• Medicine (Baltimore). 2020 Oct 30; 99 (44): e22468.

RationalVertebral 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 ConcernsA 59-year-old female patient suffered high falling injury, and with back pain as its main clinical symptom.DiagnosesThe patient was diagnosed with a L1 VCF.InterventionsWe 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).OutcomesThe 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.LessonsThe 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.

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