Review
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 16, 2023; 11(2): 255-267
Published online Jan 16, 2023. doi: 10.12998/wjcc.v11.i2.255
Application of the cortical bone trajectory technique in posterior lumbar fixation
Shi-Bo Peng, Xi-Chuan Yuan, Wei-Zhong Lu, Ke-Xiao Yu
Shi-Bo Peng, Xi-Chuan Yuan, Department of Orthopedics, Chongqing Nanchuan Hospital of Traditional Chinese Medicine, Chongqing 408400, China
Wei-Zhong Lu, Ke-Xiao Yu, Department of Orthopedics, Chongqing Hospital of Traditional Chinese Medicine, Chongqing 400021, China
Author contributions: Yu KX designed the content of the manuscript; Lu WZ and Yuan XC researched the literature and collected the data; Peng SB and Yu KX analyzed the data and wrote the manuscript; and All authors read and approved the final manuscript.
Supported by The Joint Project of Chongqing Health Commission and Science and Technology Bureau, No.2022QNXM066; and The Top-notch Young Talent Project of Chongqing Traditional Chinese Medicine Hospital, No. CQSZYY2020008.
Conflict-of-interest statement: The authors declare that no competing interest exists.
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: Ke-Xiao Yu, PhD, Associate chief physician, Department of Orthopedics, Chongqing Hospital of Traditional Chinese Medicine, No. 6 Panxi Seventh Branch Road, Jiangbei District, Chongqing 400021, China. csyxk@126.com
Received: September 9, 2022
Peer-review started: September 9, 2022
First decision: November 22, 2022
Revised: November 29, 2022
Accepted: January 5, 2023
Article in press: January 5, 2023
Published online: January 16, 2023
Processing time: 125 Days and 0.6 Hours
Core Tip

Core Tip: The cortical bone trajectory (CBT) has obvious advantages in terms of surgical trauma, postoperative recovery, prevention and treatment of adjacent vertebral disease, and the surgical treatment of obese and osteoporosis patients. This review presents the biomechanical characteristics, the perioperative osteoporosis management of midle line fusion (MIDLF) surgery, the clinical effect of MIDLF when comparing to other lumbar fusion surgery, the clinical effect of MIDLF for the treatment of lumbar spondylolisthesis, the advantages about MIDLF for spinal revision surgery, and the computer navigation-assisted CBT technique.