Percutaneous screw fixation of a vertebral pedicle fracture under CT-guidance: a new technique

Eur J Radiol. 2012 Mar;81(3):591-3. doi: 10.1016/j.ejrad.2011.01.058. Epub 2011 Feb 25.


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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bone Screws*
  • Female
  • Fracture Fixation, Internal / instrumentation*
  • Humans
  • Low Back Pain / diagnostic imaging
  • Low Back Pain / etiology
  • Low Back Pain / surgery*
  • Radiography, Interventional / methods*
  • Spinal Fractures / complications
  • Spinal Fractures / diagnostic imaging
  • Spinal Fractures / surgery*
  • Tomography, X-Ray Computed / methods*