Evidence-based clinical practice guideline for bone cement-augmented pedicle screw technique (version 2025)
- VernacularTitle:骨水泥强化椎弓根螺钉技术临床应用循证指南（2025版）
- Author:
Sihao HE
1
;
Junchao XING
;
Tongwei CHU
;
Zhengqi CHANG
;
Xigao CHENG
;
Fei DAI
;
Xiaobing JIANG
;
Jie HAO
;
Jiang HU
;
Jinghui HUANG
;
Tianyong HOU
;
Fei LUO
;
Bo LIAO
;
Changqing LI
;
Lei LIU
;
Guodong LIU
;
Peng LIU
;
Sheng LU
;
Weishi LI
;
Yang LIU
;
Zhen LIU
;
Wei MEI
;
Peifu TANG
;
Bing WANG
;
Bing WANG
;
Ce WANG
;
Hongli WANG
;
Liang WANG
;
Shengru WANG
;
Xiaobin WANG
;
Yang WANG
;
Yingfeng WANG
;
Zheng WANG
;
Jianzhong XU
;
Guoyong YIN
;
Haiyang YU
;
Qiang YANG
;
Zhaoming YE
;
Bin ZHANG
;
Chengmin ZHANG
;
Jun ZOU
;
Qiang ZHOU
;
Min ZHAO
;
Rui ZHOU
;
Xiaojun ZHANG
;
Yongfei ZHAO
;
Zhongrong ZHANG
;
Zehua ZHANG
;
Yingze ZHANG
Author Information
- Publication Type:Journal Article
- Keywords: Bone cements; Osteoporosis; Pedicle screws
- From: Chinese Journal of Trauma 2025;41(11):1035-1047
- CountryChina
- Language:Chinese
- Abstract: For middle-aged and elderly patients with conditions such as spinal fractures and degenerative spinal diseases, spinal internal fixation is a core surgical procedure for reconstructing spinal stability, heavily relying on the biomechanical stability provided by pedicle screw systems. Whereas, these patients are often complicated by osteoporosis that can significantly compromise the stability of the bone-pedicle screw interface, leading to a marked increase in pedicle screw loosening and surgical failure rates. The bone cement-augmented pedicle screw technique, which involves injecting bone cement into the vertebral body or screw trajectory to optimize the mechanical properties of the bone-pedicle screw composite, has been proven to significantly enhance fixation strength and effectively prevent screw-related failures, thereby reducing the incidence of internal fixation failure in high-risk populations undergoing spinal fusion. However, the widespread clinical application of this technique has faced challenges such as inaccurate clinical decision-making (indication and contraindication selection), non-standardized operative practices, and insufficient awareness of complication prevention, resulting in considerable variability in clinical outcomes and even severe complications. To address this, Prof. Luo Fei from First Affiliated Hospital of Army Medical University initiated the project and the Chinese Association Orthopaedic Surgeons organized relevant experts to develop the Evidence-based clinical practice guideline for bone cement-augmented pedicle screw technique ( version 2025), based on current evidence. The guidelines put forward 8 recommendations regarding the clinical value, scope of application, and operational standards of the technique, aiming to provide evidence-based medical support and technical standardization for clinical decision-making.
