Percutaneous Sacroiliac Screw Fixation of the Posterior Pelvic Ring

Iorio, Justin; Jakoi, Andre; Rehman, Saqib

doi:10.1016/j.ocl.2015.06.005

Cited by 76 publications

(78 citation statements)

References 41 publications

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“…With the development of minimally invasive surgery, imaging equipment and technology, sacroiliac screw fixation is the most commonly used method for the treatment of posterior pelvic ring injuries due to its central fixation and stable biomechanical properties 19,[31][32][33][34] . Iorio et al 7 believed that percutaneous sacroiliac screw internal fixation was suitable for the treatment of unstable posterior pelvic ring injuries, sacral fractures, sacroiliac joint fractures, and dislocation. It has the advantages of less surgical trauma, shorter operation time, fewer complications, faster recovery, and satisfactory curative effect.…”

Section: Discussionmentioning

confidence: 99%

“…The fluoroscopy frequency was 8.49 AE 2.37 (range, [4][5][6][7][8][9][10][11][12][13][14][15] times in the TiRobot group and 18.67 AE 4.18 (range, [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] times in the traditional group. The t test value is 46.105 and the P value is 0.000; there was statistically significant difference between the two groups (P < 0.05); the fluoroscopy frequency in the TiRobot group was less than in the traditional group.…”

Section: Fluoroscopy Frequencymentioning

confidence: 99%

“…This fully proves that the application of TiRobot to assist sacroiliac screw placement has the advantages of high accuracy and safety, strong operability, and repeatability. The author believes that good reduction is the key, and displacement greater than 1 cm can cause obvious dysfunction 7 .…”

Section: Surgical Efficacy and Safety Analysis Of Tirobotmentioning

confidence: 99%

“…However, pelvic fractures are difficult to treat. Poor reduction and malunion are common complications, and may lead to pain, claudication, discrepancy in limb length, and other malformations; if nerve damage occurs, the consequences are serious [7][8][9][10][11][12] . Effective fixation of the pelvic posterior ring injury can restore the integrity and biomechanical stability of the pelvic ring, as well as facilitate the treatment of other injured parts.…”

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confidence: 99%

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Comparative Study of Percutaneous Sacroiliac Screw with or without TiRobot Assistance for Treating Pelvic Posterior Ring Fractures

Long

Gao³

et al. 2019

Orthopaedic Surgery

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Objectives To analyze the curative effect of TiRobot surgical robotic navigation and location system‐assisted percutaneous sacroiliac screw fixation and percutaneous sacroiliac screw by traditional fluoroscopy, and to summarize the safety and benefits of TiRobot. Methods A total of 91 patients with pelvic posterior ring fractures from December 2015 to February 2018 were included in this study. According to the surgical methods selected by the patients, the patients were divided into a TiRobot surgical robotic navigation and location system group (TiRobot group) and a percutaneous sacroiliac screw fixation group (traditional group). Statistical indicators included the number of sacroiliac screws, the time of planning the sacroiliac screw path, fluoroscopy frequency, fluoroscopy time, operation time, length of incision, blood loss, anesthesia time, the healing process of skin incisions, and fracture healing time. Fracture reduction was evaluated according to the maximum displacement degree at the inlet and outlet view X‐ray or CT. Matta standard was used to evaluate fracture reduction. At the last follow‐up, the Majeed function system was used to evaluate the function. Results All patients were followed up for 8 to 32 months. A total of 66 sacroiliac screws were implanted in the TiRobot group. A total of 43 sacroiliac screws were implanted in the traditional group. There were statistically significant differences in terms of fluoroscopy frequency, fluoroscopy time, operation time, incision length, anesthesia time, and blood loss between the two groups; the TiRobot group was superior to the traditional group. The healing time of the TiRobot group and the traditional group was 4.61 ± 0.68 months (range, 3.5–6.3 months) and 4.56 ± 0.78 months (range, 3.4–6.2 months), respectively, and there was no statistical difference. Postoperatively, by Matta standard, the overall excellent and good rate of fracture reduction was 89.28% and 88.57%, respectively. At the last follow‐up, by Majeed function score, the overall excellent and good rate was 91.07% and 91.43%. There was no statistical difference between the two groups. Conclusion Sacroiliac screw implantation assisted by TiRobot to treat the posterior pelvic ring fractures has the characteristics of less trauma, shorter operation time, and less blood loss. TiRobot has the characteristics of high safety and accuracy and has great clinical application value.

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Section: Discussionmentioning

confidence: 99%

Section: Fluoroscopy Frequencymentioning

confidence: 99%

Section: Surgical Efficacy and Safety Analysis Of Tirobotmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Comparative Study of Percutaneous Sacroiliac Screw with or without TiRobot Assistance for Treating Pelvic Posterior Ring Fractures

Long

Gao³

et al. 2019

Orthopaedic Surgery

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“…В современной литературе все чаще встре-чаются статьи по применению подвздош-но-крестцовых канюлированных винтов для стабилизации задних структур таза при раз-личных повреждениях с подробным описани-ем методики и вероятных осложнениях при ее использовании [12,28]. Также приводятся экс-периментальные биомеханические стендовые испытания, подтверждающие стабильность фиксации повреждений заднего отдела тазово-го кольца подвздошно-крестцовыми винтами путем приложения к модели таза механиче-ских нагрузок различными способами (сжатие, растяжение, сгиб, кручение).…”

Section: Discussionunclassified

Minimally Invasive Lumbar-Pelvic Stabilization for Unstable Pelvic Ring Injuries

Dulaev

Кажанов

Мануковский

et al. 2017

Traumatology and Orthopedics of Russia

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Reconstructive operations for unstable pelvic ring injuries in most cases are performed at later date after trauma (period of complete stabilization of the vital functions). The paper presents treatment outcomes of three patients with vertically unstable pelvic ring injuries where minimally invasive lumbar-pelvic fixation with pedicle screws was applied. The morphology of sacrum injury determined a configuration of the lumbar-pelvic transpedicular system. In all cases the final surgery was performed in the early period of traumatic disease, which made it possible to restore the anatomy of the pelvic ring and obtain good functional outcomes.

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Finite element analysis of sacral‐alar‐iliac screw fixation for sacroiliac joint dislocation

Zhang

Diarra

et al. 2023

Journal Orthopaedic Research

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The percutaneous sacroiliac (SI) screw is a common fixation option for posterior ring disruption in pelvic fractures. However, SI screw placement is difficult and can injure adjacent neurovascular structures. The sacral-alar-iliac screw (SAI) is a safe, reliable free-hand sacral pelvic fixation technique. To investigate the biomechanical stability of SAI for SI joint dislocation, finite element analysis was performed in unstable Tile-Type B and C pelvic ring injuries. The displacement in S1 (fixation of a unilateral S1 segment with one SI screw), TS1 (fixation of the S1 segment with a transsacra 1 screw), TS2 (fixation of the S2 segment with a transsacra 2 screw), S1AI, and S2AI exceeded the normal SI joint mobility. Sufficient stability after SI joint dislocation was obtained with (TS1 + TS2), (TS2 + S1), (S1AI + S2AI + rod), (S1AI + S2AI), and (S1 + S2AI + S1 pedicle) fixation. The TS1 + TS2 group had the smallest displacement and lowest peak screw stress, followed by (S1 + S2AI + S1 pedicle) placement. Our findings suggest that SAI screws are a valuable option for SI joint dislocation.

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Percutaneous Sacroiliac Screw Fixation of the Posterior Pelvic Ring

Cited by 76 publications

References 41 publications

Comparative Study of Percutaneous Sacroiliac Screw with or without TiRobot Assistance for Treating Pelvic Posterior Ring Fractures

Comparative Study of Percutaneous Sacroiliac Screw with or without TiRobot Assistance for Treating Pelvic Posterior Ring Fractures

Minimally Invasive Lumbar-Pelvic Stabilization for Unstable Pelvic Ring Injuries

Finite element analysis of sacral‐alar‐iliac screw fixation for sacroiliac joint dislocation

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