• Yang Song, Yue Ma, and Fan Li.
• Yang Song, Department of Orthopaedic, Affiliated Hospital of Beihua University, 132011, Jilin, P. R. China.
• Pak J Med Sci. 2023 Jul 1; 39 (4): 114011431140-1143.

ObjectiveTo explore the accuracy, safety and clinical effect of descending thoracic pedicle screw fixation assisted by computer CT three-dimensional navigation in the treatment of single segmental compression thoracic fracture.MethodsThis study was a retrospective analysis. From June 2020 to June 2022, eighty patients with thoracic vertebral fractures admitted to Affiliated Hospital of Beihua University were were divided into observation group and control group according to different methods of screw placement, with 40 cases in each group. The navigation system was used to insert pedicle screws, and the control group used traditional open X-ray to insert pedicle screws by hand. Further comparison was carried out in terms of the operation time, intraoperative blood loss, perioperative complications, accuracy and safety rate of screw placement, and vertebral compression ratio between both the groups.ResultsThe average intraoperative blood loss in the observation group was significantly less than the control group, the average screw insertion time was significantly shorter than the control group, the postoperative average vertebral body compression ratios was significantly better than the control group, the excellent rate of screw insertion was better than the control group, while the incidence of complications was lower than the control group, and the difference was statistically significant (all P<0.05).ConclusionIntraoperative CT navigation for pedicle screw placement can reduce the time of screw placement and intraoperative blood loss, improve the excellent rate of screw placement and the compression ratio of the anterior edge of the injured vertebra, the complication rate was low.Copyright: © Pakistan Journal of Medical Sciences.

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