Navigation versus fluoroscopy in minimalinvasive iliosacral screw placement.
Iliosacral screw placement
Minimal invasiv surgery
Navigation
Osteoporotic fractures
Sacral insufficiency fracture
Journal
Journal of orthopaedic surgery and research
ISSN: 1749-799X
Titre abrégé: J Orthop Surg Res
Pays: England
ID NLM: 101265112
Informations de publication
Date de publication:
16 Mar 2024
16 Mar 2024
Historique:
received:
05
12
2023
accepted:
07
03
2024
medline:
18
3
2024
pubmed:
16
3
2024
entrez:
16
3
2024
Statut:
epublish
Résumé
When needed operative treatment of sacral fractures is mostly performed with percutaneous iliosacral screw fixation. The advantage of navigation in insertion of pedicle screws already could be shown by former investigations. The aim of this investigation was now to analyze which influence iliosacral screw placement guided by navigation has on duration of surgery, radiation exposure and accuracy of screw placement compared to the technique guided by fluoroscopy. 68 Consecutive patients with sacral fractures who have been treated by iliosacral screws were inclouded. Overall, 85 screws have been implanted in these patients. Beside of demographic data the duration of surgery, duration of radiation, dose of radiation and accuracy of screw placement were analyzed. When iliosacral screw placement was guided by navigation instead of fluoroscopy the dose of radiation per inserted screw (155.0 cGy*cm Based on these results minimal invasive iliosacral screw placement guided by navigation seems to be a safe procedure, which leads to a reduced exposure to radiation for the patient and the surgeon, a reduced duration of surgery as well as a higher accuracy of screw placement.
Identifiants
pubmed: 38491520
doi: 10.1186/s13018-024-04669-0
pii: 10.1186/s13018-024-04669-0
pmc: PMC10943796
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
185Informations de copyright
© 2024. The Author(s).
Références
Injury. 2015 Aug;46(8):1631-6
pubmed: 26052052
J Clin Med. 2022 Mar 08;11(6):
pubmed: 35329792
Oper Orthop Traumatol. 2006 Sep;18(3):225-44
pubmed: 16953348
BMC Musculoskelet Disord. 2023 May 11;24(1):374
pubmed: 37170257
J Orthop Trauma. 2016 Jun;30(6):331-5
pubmed: 26655517
Curr Sports Med Rep. 2006 Feb;5(1):37-43
pubmed: 16483515
Clin Orthop Relat Res. 2010 Sep;468(9):2419-29
pubmed: 20521129
Clin Orthop Relat Res. 2009 Jul;467(7):1833-8
pubmed: 19034594
Injury. 2021 Oct;52(10):2968-2972
pubmed: 34275645
Clin Orthop Relat Res. 1989 May;(242):83-97
pubmed: 2706863
Clin Orthop Relat Res. 2000 Jun;(375):15-29
pubmed: 10853150
Eur J Trauma Emerg Surg. 2022 Dec;48(6):4897-4902
pubmed: 35796781
Orthop Traumatol Surg Res. 2022 Apr;108(2):103213
pubmed: 35081456
Clin Spine Surg. 2019 Jun;32(5):E258-E265
pubmed: 30762840
Arch Orthop Trauma Surg. 2011 Jun;131(6):809-13
pubmed: 21188399
Br J Radiol. 2004 Oct;77(922):891-6
pubmed: 15483007
Injury. 2013 Feb;44(2):203-8
pubmed: 23068140
Orthop Clin North Am. 2013 Apr;44(2):217-24
pubmed: 23544825
Injury. 2013 Dec;44(12):1765-72
pubmed: 24001785
Spine (Phila Pa 1976). 2000 Oct 15;25(20):2637-45
pubmed: 11034650
J Child Orthop. 2020 Dec 01;14(6):554-561
pubmed: 33343751
Eur J Trauma Emerg Surg. 2020 Feb;46(1):107-113
pubmed: 30030551
World Neurosurg. 2014 Dec;82(6):1337-43
pubmed: 25088230