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Tumours and fractures

Percutaneous fracture fixation

Situations in which being decisive is unavoidable.

Frequently asked questions

Screws inserted through the skin that stabilise the fracture without opening the back.

In traumatic or pathological vertebral fractures, percutaneous fixation stabilises the segment with minimal blood loss and muscle damage, allowing early mobilisation.

It can be combined with cement injection into the fractured vertebra when the bone is fragile.

Typical indications

  • Unstable vertebral fractures
  • Pathological fractures
  • Unstable fractures in osteoporotic bone

Frequently asked questions

How are screws placed without opening the back?

Through the skin, via small incisions, without stripping the muscles off the spine to reach the bone. In terms of stabilisation the result is that of a fixation, but without the damage of an open approach.

What do I gain from it?

Minimal blood loss and minimal muscle damage, which allows early mobilisation. With a fracture, being able to move soon is not a comfort detail: it is much of the treatment.

My bone is fragile. Will the screws hold?

It is a fair concern in osteoporotic bone, and that is why the fixation can be combined with cement injection into the fractured vertebra. It is assessed before operating, not during.

Which fractures is it indicated for?

Unstable vertebral fractures, pathological ones — those occurring in bone already weakened by disease — and osteoporotic bone when there is instability. A stable fracture without deformity does not need screws.

The information on this page is for guidance only and does not replace a personalised medical assessment. Whether any technique is indicated depends on each patient's examination and scans.

Other techniques in tumours and fractures

Could one of these fit your case?

I review your scans and tell you frankly which option makes sense, including not operating.