Standard Multiplanar Fluoroscopy Versus a Fluoroscopically Based Navigation System for the Percutaneous Insertion of Iliosacral Screws

Collinge, Cory; Coons, David A.; Tornetta, Paul; Aschenbrenner, J. E.

doi:10.1097/01.bot.0000151821.79827.fb

Cited by 68 publications

(27 citation statements)

References 28 publications

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“…Of note, the operating room personnel regularly left the operating room when the Iso-C 3D scan was started, so they received no radiation dose at all during the scanning procedure. Radiation times for conventional screw placement have been reported to vary between 1.8 and 7.3 minutes [5,7]. We found mean times of 141 and 211 seconds for the conventional group.…”

Section: Discussionmentioning

confidence: 54%

“…Some authors have reported their clinical experiences or results of cadaver studies using navigated imaging systems [2,7,8,14,21,23,26,27], but these navigation systems are not yet established for percutaneous iliosacral screw placement in pelvic surgery. Briem et al [5] noted nine publications were listed concerning navigated surgery of the dorsal pelvic ring.…”

Section: Introductionmentioning

confidence: 99%

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Computer-navigated Iliosacral Screw Insertion Reduces Malposition Rate and Radiation Exposure

Zwingmann¹,

Konrad²,

Kotter³

et al. 2009

Clinical Orthopaedics &Amp; Related Research

150

110

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Insertion of percutaneous iliosacral screws with fluoroscopic guidance is associated with a relatively high screw malposition rate and long radiation exposure. We asked whether radiation exposure was reduced and screw position improved in patients having percutaneous iliosacral screw insertion using computer-assisted navigation compared with patients having conventional fluoroscopic screw placement. We inserted 26 screws in 24 patients using the navigation system and 35 screws in 32 patients using the conventional fluoroscopic technique. Two subgroups were analyzed, one in which only one iliosacral screw was placed and another with additional use of an external fixator. We determined screw positions by computed tomography and compared operation time, radiation exposure, and screw position. We observed no difference in operative times. Radiation exposure was reduced for the patients and operating room personnel with computer assistance. The postoperative computed tomography scan showed better screw position and fewer malpositioned screws in the three-dimensional navigated groups. Computer navigation reduced malposition rate and radiation exposure. Level of Evidence: Level II, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Section: Discussionmentioning

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Computer-navigated Iliosacral Screw Insertion Reduces Malposition Rate and Radiation Exposure

Zwingmann¹,

Konrad²,

Kotter³

et al. 2009

Clinical Orthopaedics &Amp; Related Research

150

110

View full text Add to dashboard Cite

show abstract

“…If closed reduction can be achieved, stabilisation of unstable injuries of the posterior pelvic ring by means of percutaneous ilio-sacral screw placement represents the standard of care [1][2][3][4]. The use of fluoroscopic guidance helps to minimise the surgical trauma, but technically the procedure remains difficult [5].…”

Section: Introductionmentioning

confidence: 99%

Assessment of pelvic injuries treated with ilio-sacral screws: injury severity and accuracy of screw positioning

Pishnamaz¹,

Dienstknecht²,

Hoppe³

et al. 2015

International Orthopaedics (SICOT)

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“…Besides its structural importance, it is one of the main bones operated on during hip arthroplasty and iliosacral screw insertion. 1,3 Superior gluteal artery and nerve injuries are common complications during these operations. [4][5][6][7] Current literature contains satisfactory studies regarding the variations in the course of these neurovascular structures and their relation to the hip bone.…”

Section: Introductionmentioning

confidence: 99%

An atypical variational canal in the hip bone

Apaydın¹

2008

Anatomy

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We report, to our knowledge, a previously unreported canal on the hip bone belonging to the left side of an adult male skeleton. Anterior aperture of the canal was located just anterior to the auricular surface and the posterior aperture just above the major sciatic notch. The margin of the anterior aperture which is located on the left iliac fossa was regular and in the form of a complete circle. The posterior aperture was possessing more than one foramen which are divided by bony segments. We failed to find the other pair of the hip bone, so we could not determine whether the right hip bone possesses a similar canal or not. In this case report we aimed to evaluate this canal morphometrically and point out its clinical importance.

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Standard Multiplanar Fluoroscopy Versus a Fluoroscopically Based Navigation System for the Percutaneous Insertion of Iliosacral Screws

Cited by 68 publications

References 28 publications

Computer-navigated Iliosacral Screw Insertion Reduces Malposition Rate and Radiation Exposure

Computer-navigated Iliosacral Screw Insertion Reduces Malposition Rate and Radiation Exposure

Assessment of pelvic injuries treated with ilio-sacral screws: injury severity and accuracy of screw positioning

An atypical variational canal in the hip bone

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