Anatomic Determinants of Sacral Dysmorphism and Implications for Safe Iliosacral Screw Placement

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Anatomic Determinants of Sacral Dysmorphism and Implications for Safe Iliosacral Screw Placement.

BACKGROUND Upper sacral segment dysplasia increases the risk of cortical perforation during iliosacral screw insertion. Dysmorphic sacra have narrow and angled upper osseous corridors. However, there is no validated definition of this anatomic variation. We hypothesized that pelves could be quantitatively grouped by anatomic measurements. METHODS One hundred and four computed tomography (CT) ...

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Percutaneous iliosacral screws are useful in treating vertical posterior pelvic fractures and iliosacral disruptions. Iliosacral screws are far less invasive than spinopelvic fixation, and result in much lower morbidity. However, safe placement of the iliosacral screws is technically difficult and highly dependent on fracture reduction and adequate fluoroscopy. Inaccurate placement can result i...

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BACKGROUND Percutaneous sacro-iliac (SI) screw fixation represents a widely used technique in the management of unstable posterior pelvic ring injuries and sacral fractures. The misplacement of SI-screws under fluoroscopic guidance represents a critical complication for these patients. This study was designed to determine the prevalence of sacral dysmorphia and the radiographic anatomy of surgi...

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Percutaneous iliosacral screw placement is a standard stabilisation technique for pelvic fractures. It is a demanding operative technique. Various methods of guidance are currently available. We present a quick and simple fluoroscopy-guided technique using a radiolucent drive designed for distal locking of intramedullary nails. From January 2008 to December 2009, 27 screws were inserted using t...

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ژورنال

عنوان ژورنال: Journal of Bone and Joint Surgery

سال: 2014

ISSN: 0021-9355,1535-1386

DOI: 10.2106/jbjs.m.00895