Dahua Medical First Hospital Spine Surgery percutaneous pedicle screw internal fixation 8 small holes to cure the fracture the next day can get out of bed and walk more Interviewee for the picture Recently, Professor, successfully implemented a spinal fracture patients with closed reset posterior road percutaneous pedicle screw internal fixation minimally invasive surgery. The patient was able to get out of bed and walk on his own the day after the surgery. A month ago, 22-year-old college student Li fell from the upper bunk in his dormitory and suffered back pain. Wang Hong, a professor of spine surgery at the First Hospital of Dalian University of Medical Sciences, deputy director of the Dalian Youth Work Committee of the Agricultural and Workers’ Party, and a doctoral tutor, diagnosed him with a stable burst fracture of the L1 vertebrae, and the fractured lumbar vertebrae had obvious compression. For this reason, Xiao Li underwent closed reduction posterior percutaneous pedicle screw internal fixation. Given that Li’s injury was a lumbar fracture with no signs of neurological damage, Prof. Wang Hong and his team were guided by fluoroscopy on a C-arm X-ray machine before the surgery, and Prof. Wang successfully repositioned the fracture compression with his own unique technique, which was painless for the patient and did not damage the nerves in the affected area. During the surgery, eight small openings less than 1.5 cm long were made around the damaged lumbar vertebrae on the patient’s back, and six titanium alloy hollow screws and two small curved connecting rods were placed into the damaged area through the small incisions to connect and fixate the damaged spine and ensure the stability of the reset lumbar vertebrae. Finally, the eight small openings were closed with intradermal cosmetic sutures. The surgery took just over two hours. Minimally invasive perforation, small invasive surface, fast recovery According to Prof. Wang Hong, if you use the traditional method to treat this type of fracture, you can only choose a large incision surgery. The surgeon needs to make a long incision of 12 to 15 centimeters on the patient’s spine, cut and peel off the erector spinae muscle on both sides layer by layer, and then perform the restoration and fixation. This type of surgery involves a lot of bleeding, a high level of pain, a long postoperative recovery time, and a lot of damage to the muscle tissue. Many patients are afraid of this type of surgery, but if they only take conservative treatment without surgery, they need to stay in bed for one or two months, and after healing, it is very easy to form a “hunchback”, which will be with them for the rest of their lives. “The latest minimally invasive percutaneous pedicle screw internal fixation surgery is to make holes in the patient’s muscle space, through special equipment to gradually widen the gap, no damage to the muscle, bleeding is minimal, the recovery will be much faster. After healing, each opening wound will not leave a solid and unsightly scar, but only a slight and inconspicuous mark.” Prof. Wang Hong said that the next day after the operation, Li was able to walk on the ground without pain. Now, Li is studying and living as usual and is confidently waiting for the day when the screw stent will be removed and he will be fully recovered in 9 months.