Minimally invasive pedicle screws fixation and PVP for fractured vertebral body. (A) Exposion of superior articular facet and root of transverse process through the minimal-access in a paraspinal sacrospinalis muscle-splitting (Wiltse) approach. (B) Placement of pedicle screw into the adjacent vertebrae to fractured one with minimally invasive technique. (C) Insertion of 13-gauge needles into the fractured vertebral body under fluoroscopic guidance. (D) Injection of cement after minimally invasive pedicle screw-and-rod reduction and fixation.