Differences in Accuracy and Radiation Dose in Placement of Iliosacral Screws: Comparison between 3D and 2D Fluoroscopy
Percutaneous iliosacral screw fixation is a widely accepted method of stabilizing the posterior pelvic ring. Recently developed tools such as 3D-navigated fluoroscopy and computed navigation seem to prevent a surgeon from conducting screw misplacement. The study aimed to comparatively assess the int...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-03-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/6/1466 |
| _version_ | 1797470589292642304 |
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| author | Michał Kułakowski Paweł Reichert Karol Elster Jarosław Witkowski Paweł Ślęczka Piotr Morasiewicz Łukasz Oleksy Aleksandra Królikowska |
| author_facet | Michał Kułakowski Paweł Reichert Karol Elster Jarosław Witkowski Paweł Ślęczka Piotr Morasiewicz Łukasz Oleksy Aleksandra Królikowska |
| author_sort | Michał Kułakowski |
| collection | DOAJ |
| description | Percutaneous iliosacral screw fixation is a widely accepted method of stabilizing the posterior pelvic ring. Recently developed tools such as 3D-navigated fluoroscopy and computed navigation seem to prevent a surgeon from conducting screw misplacement. The study aimed to comparatively assess the introduction of sacroiliac screw placement using 2D and 3D fluoroscopy in terms of accuracy and radiation exposure. Iliosacral screws were introduced in 37 patients using 2D (group N1) and in 36 patients using 3D fluoroscopy (group N2) techniques. Overall, 61 and 56 screws were introduced in groups N1 and N2, respectively. Screw placement accuracy was assessed using postoperative computed tomography and Smith’s scale. Intraoperative radiation exposure was also assessed. No differences were noted between groups in terms of screw positioning accuracy and radiation dose. Both 2D and 3D fluoroscopy provide good visualization for safely placing percutaneous iliosacral joint screws. Using 3D fluoroscopy-based navigation in comparison with 2D fluoroscopy is not advantageous. |
| first_indexed | 2024-03-09T19:38:09Z |
| format | Article |
| id | doaj.art-1fee079b5230462abd64d220b27b6fda |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T19:38:09Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-1fee079b5230462abd64d220b27b6fda2023-11-24T01:46:21ZengMDPI AGJournal of Clinical Medicine2077-03832022-03-01116146610.3390/jcm11061466Differences in Accuracy and Radiation Dose in Placement of Iliosacral Screws: Comparison between 3D and 2D FluoroscopyMichał Kułakowski0Paweł Reichert1Karol Elster2Jarosław Witkowski3Paweł Ślęczka4Piotr Morasiewicz5Łukasz Oleksy6Aleksandra Królikowska7Independent Public Healthcare Centre, 87-500 Rypin, PolandClinical Department of Trauma and Hand Surgery, Department of Trauma Surgery, Faculty of Medicine, Wroclaw Medical University, 50-556 Wrocław, PolandIndependent Public Healthcare Centre, 87-500 Rypin, PolandClinical Department of Trauma and Hand Surgery, Division of Sports Medicine, Department of Trauma Surgery, Faculty of Medicine, Wroclaw Medical University, 50-556 Wrocław, PolandIndependent Public Healthcare Centre, 32-400 Myślenice, PolandDepartment of Orthopaedic and Trauma Surgery, University Hospital in Opole, Institute of Medical Sciences, University of Opole, 45-401 Opole, PolandOrthopaedic and Rehabilitation Department, Medical Faculty, Medical University of Warsaw, 02-091 Warsaw, PolandErgonomics and Biomedical Monitoring Laboratory, Department of Physiotherapy, Faculty of Health Sciences, Wroclaw Medical University, 50-367 Wrocław, PolandPercutaneous iliosacral screw fixation is a widely accepted method of stabilizing the posterior pelvic ring. Recently developed tools such as 3D-navigated fluoroscopy and computed navigation seem to prevent a surgeon from conducting screw misplacement. The study aimed to comparatively assess the introduction of sacroiliac screw placement using 2D and 3D fluoroscopy in terms of accuracy and radiation exposure. Iliosacral screws were introduced in 37 patients using 2D (group N1) and in 36 patients using 3D fluoroscopy (group N2) techniques. Overall, 61 and 56 screws were introduced in groups N1 and N2, respectively. Screw placement accuracy was assessed using postoperative computed tomography and Smith’s scale. Intraoperative radiation exposure was also assessed. No differences were noted between groups in terms of screw positioning accuracy and radiation dose. Both 2D and 3D fluoroscopy provide good visualization for safely placing percutaneous iliosacral joint screws. Using 3D fluoroscopy-based navigation in comparison with 2D fluoroscopy is not advantageous.https://www.mdpi.com/2077-0383/11/6/1466iliosacral screw3D fluoroscopy2D fluoroscopypelvic ring injuriespercutaneous fixation |
| spellingShingle | Michał Kułakowski Paweł Reichert Karol Elster Jarosław Witkowski Paweł Ślęczka Piotr Morasiewicz Łukasz Oleksy Aleksandra Królikowska Differences in Accuracy and Radiation Dose in Placement of Iliosacral Screws: Comparison between 3D and 2D Fluoroscopy Journal of Clinical Medicine iliosacral screw 3D fluoroscopy 2D fluoroscopy pelvic ring injuries percutaneous fixation |
| title | Differences in Accuracy and Radiation Dose in Placement of Iliosacral Screws: Comparison between 3D and 2D Fluoroscopy |
| title_full | Differences in Accuracy and Radiation Dose in Placement of Iliosacral Screws: Comparison between 3D and 2D Fluoroscopy |
| title_fullStr | Differences in Accuracy and Radiation Dose in Placement of Iliosacral Screws: Comparison between 3D and 2D Fluoroscopy |
| title_full_unstemmed | Differences in Accuracy and Radiation Dose in Placement of Iliosacral Screws: Comparison between 3D and 2D Fluoroscopy |
| title_short | Differences in Accuracy and Radiation Dose in Placement of Iliosacral Screws: Comparison between 3D and 2D Fluoroscopy |
| title_sort | differences in accuracy and radiation dose in placement of iliosacral screws comparison between 3d and 2d fluoroscopy |
| topic | iliosacral screw 3D fluoroscopy 2D fluoroscopy pelvic ring injuries percutaneous fixation |
| url | https://www.mdpi.com/2077-0383/11/6/1466 |
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