To conduct a bibliometric analysis of the literature related to complications of percutaneous pedicle screw internal fixation, identifying research hotspots and development trends. This study focused on percutaneous pedicle screw internal fixation and its complications. A comprehensive literature search was performed using the Web of Science Core Collection (WOSCC) database, covering publications from January 1, 1999, to December 31, 2024. The search was conducted on March 22, 2025, to ensure all 2024 publications were indexed. The annual number of publications and their distribution across countries were quantified using GraphPad Prism. CiteSpace and VOSviewer were used to analyze collaborative relationships among authors, countries, and institutions, as well as journal and document co-citation patterns. Keywords were clustered and visualized to create a knowledge map. A total of 622 articles were included. The United States had the highest total citations (5,921), while China led in publication volume (163). The primary keywords identified were ’spine,’ ’fixation,’ ’surgery,’ and ’accuracy,’ which formed six distinct clusters. Research hotspots included spondylolisthesis, kyphoplasty, and pedicle screws. Although research output on complications following percutaneous pedicle screw internal fixation has slightly declined in recent years, the overall trend remains upward. This field is expected to remain a key area of focus in spinal surgery.
Guo et al. (Wed,) studied this question.