# A New Minimally Invasive Technique for Thoracolumbar/Lumbar Focal Kyphosis Due to Osteoporotic Vertebral Fracture: A Case Report

## TL;DR

This case report describes a new minimally invasive surgical technique for treating a spinal fracture in an elderly patient.

## Contribution

A novel minimally invasive surgical approach combining anterior and posterior techniques without a C-arm.

## Key findings

- The patient experienced successful treatment of L2 fracture and focal kyphosis with reduced surgical time and blood loss.
- The procedure used hyperlordotic cages and percutaneous pedicle screws under navigation guidance.
- The technique was performed in a single session using a right decubitus position.

## Abstract

Osteoporotic vertebral fractures are common fractures in the elderly population and are often associated with low back pain and disruption in daily living activities. Reconstruction surgeries, such as corpectomy, are among the treatment options for these conditions. However, a corpectomy requires a longer surgical procedure and involves a significant amount of blood loss. We present the case of an 80-year-old woman with severe low back pain due to an L2 fracture and focal kyphosis treated with a novel minimally invasive technique. The patient underwent anterior and posterior surgery in the right decubitus position using a C-arm-free technique. Hyperlordotic cages were inserted in the upper and lower disc space via a lateral approach, while percutaneous pedicle screws were inserted from a posterior approach. These procedures were performed simultaneously under navigation guidance only.