Costochondral joint puncture

       The patient, female, 65 years old, had recurrent thoracic back pain for six months, aggravated for one month, came to the hospital, had been treated conservatively in an outside hospital for T8/9 vertebral fracture, before the operation, the pain in the thoracic back was unbearable, and it was difficult to get up in bed, the examination found that the patient had a hunchback (lordosis) deformity: percussion pain in the middle and lower thoracic vertebrae, normal sensory movement of both lower limbs; the admission was clear that T6, T9, T11 fresh fracture, T8 old fracture, perfect examination Under general anesthesia, the T9 and T11 vertebral fractures were operated via the cribriform joint puncture route with balloon expansion vertebroplasty, and the operation went well. Due to the T6 vertebral fracture, intraoperative C-arm fluoroscopy of the T6 pedicle was not possible, so the T6 vertebrae were abandoned for vertebroplasty.