Guo S, Zhu K, Yan MJ, Li XH, Tan J. Cortical bone trajectory screws in the treatment of lumbar degenerative disc disease in patients with osteoporosis. World J Clin Cases 2022; 10(36): 13179-13188 [PMID: 36683619 DOI: 10.12998/wjcc.v10.i36.13179]
Corresponding Author of This Article
Jun Tan, MD, Chief Physician, Doctor, Professor, Department of Orthopedics, United Family Healthcare, No. 669 Pingtang Road, Shanghai 200336, China. tanjuntj2012@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Dec 26, 2022; 10(36): 13179-13188 Published online Dec 26, 2022. doi: 10.12998/wjcc.v10.i36.13179
Cortical bone trajectory screws in the treatment of lumbar degenerative disc disease in patients with osteoporosis
Song Guo, Kai Zhu, Mei-Jun Yan, Xin-Hua Li, Jun Tan
Song Guo, Mei-Jun Yan, Xin-Hua Li, Department of Orthopedics Surgery, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, China
Kai Zhu, Department of Orthopedics Ⅱ, Qingdao No. 8 People’s Hospital, Qingdao 266121, Shandong Province, China
Jun Tan, Department of Orthopedics, United Family Healthcare, Shanghai 200336, China
Author contributions: Guo S performed most of the writing; Zhu K performed data accusation, writing and prepared the figures and tables; Yan MJ provided the input in writing the paper; Li XH designed the outline and coordinated the writing of the paper; Tan J contributed to the conception of the study.
Supported byNational Natural Science Foundation of China, No. 82202694.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jun Tan, MD, Chief Physician, Doctor, Professor, Department of Orthopedics, United Family Healthcare, No. 669 Pingtang Road, Shanghai 200336, China. tanjuntj2012@163.com
Received: September 12, 2022 Peer-review started: September 12, 2022 First decision: October 28, 2022 Revised: November 5, 2022 Accepted: November 28, 2022 Article in press: November 28, 2022 Published online: December 26, 2022 Processing time: 105 Days and 5.4 Hours
Abstract
Lumbar degenerative disc disease (DDD) in the elderly population remains a global health problem, especially in patients with osteoporosis. Osteoporosis in the elderly can cause failure of internal fixation. Cortical bone trajectory (CBT) is an effective, safe and minimally invasive technique for the treatment of lumbar DDD in patients with osteoporosis. In this review, we analyzed the anatomy, biomechanics, and advantages of the CBT technique in lumbar DDD and revision surgery. Additionally, the clinical trials and case reports, indications, advancements and limitations of this technique were further discussed and reviewed. Finally, we concluded that the CBT technique can be a practical, effective and safe alternative to traditional pedicle screw fixation, especially in DDD patients with osteoporosis.
Core Tip: Some reviews in the literature have provided information that contributes to the anatomy, surgical technique, and biomechanics of cortical bone trajectory screws. However, the aim of this review is to report the recent clinical trials and case reports, indications, advancements and limitations of this technique. We concluded that the cortical bone trajectory technique can be a practical, effective and safe alternative to traditional pedicle screw fixation, especially in degenerative disc diseases patients with osteoporosis.
