Minimally Invasive Iliac Screw Insertion: Clinical Case Series and Technical Note
Objective To describe the technique of minimally invasive iliac screw insertion by freehand technique and using intraoperative navigation guidance. Methods Bilateral iliac screws were inserted in total of seven patients. Five patients under- went navigation guided iliac screw placement and freehand...
| Principais autores: | , , , , |
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| Formato: | Artigo |
| Idioma: | English |
| Publicado em: |
Korean Minimally Invasive Spine Surgery Society
2022-04-01
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| coleção: | Journal of Minimally Invasive Spine Surgery and Technique |
| Assuntos: | |
| Acesso em linha: | http://www.jmisst.org/upload/pdf/jmisst-2021-00304.pdf |
| _version_ | 1828062632212430848 |
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| author | Umesh Srikantha Yadhu K Lokanath Akshay Hari Deepak Somasundar Ravi Gopal Varma |
| author_facet | Umesh Srikantha Yadhu K Lokanath Akshay Hari Deepak Somasundar Ravi Gopal Varma |
| author_sort | Umesh Srikantha |
| collection | DOAJ |
| description | Objective To describe the technique of minimally invasive iliac screw insertion by freehand technique and using intraoperative navigation guidance. Methods Bilateral iliac screws were inserted in total of seven patients. Five patients under- went navigation guided iliac screw placement and freehand technique was performed in 2 patients. Results Total of 7 patients underwent minimally invasive iliac screw fixation in our series. The pathology in 4 of the cases was spondylodiscitis, among them 2 cases each at L5-S1 and L4-L5, one with the destruction of L5 vertebral body and the other with the destruction of both L4 and L5 vertebral bodies. Of the remaining cases, two cases , one case of sacral insufficiency fracture and the last case was implant failure after L2-L5 oblique lumbar fusion. None of the cases required conversion to open procedure or had wound or hardware related complications till the last follow-up. All patients had an uneventful post-operative period with improvement in pain scores and were mobilized on the 1st postoperative day. One 50-year-old female patient suffering from L5-S1 tubercular spondylodiscitis died due to underlying chronic kidney disease three months post-surgery. Conclusion Minimal invasive iliac screw placement with or without navigation offers the same biomechanical stability as the open approach but without the need for extensive soft tissue exposure needed for a conventional/open procedure; thereby reducing exposure-related complications , enhancing post-operative recovery and early mobilization. Incorporating intra-operative 3D navigation provides real-time multi-planar images which help in easy planning and safe screw placement whilst reducing radiation exposure. |
| first_indexed | 2024-04-10T22:30:33Z |
| format | Article |
| id | doaj.art-40af54c2191b434884211db0ca177047 |
| institution | Directory Open Access Journal |
| issn | 2508-2043 |
| language | English |
| last_indexed | 2024-04-10T22:30:33Z |
| publishDate | 2022-04-01 |
| publisher | Korean Minimally Invasive Spine Surgery Society |
| record_format | Article |
| series | Journal of Minimally Invasive Spine Surgery and Technique |
| spelling | doaj.art-40af54c2191b434884211db0ca1770472023-01-17T04:44:25ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432022-04-0171606710.21182/jmisst.2021.00304130Minimally Invasive Iliac Screw Insertion: Clinical Case Series and Technical NoteUmesh Srikantha0Yadhu K Lokanath1Akshay Hari2Deepak Somasundar3Ravi Gopal Varma4 Aster Hospitals, Bangalore Cluster, Bengaluru, India Department of Neurosurgery, Aster RV Hospital, Bengaluru, India Department of Neurosurgery, Centre of Excellence: Brain & Spine, Aster CMI Hospital, Bengaluru, India Department of Neurosurgery, Centre of Excellence: Brain & Spine, Aster CMI Hospital, Bengaluru, India Department of Neurosurgery, Centre of Excellence: Brain & Spine, Aster CMI Hospital, Bengaluru, IndiaObjective To describe the technique of minimally invasive iliac screw insertion by freehand technique and using intraoperative navigation guidance. Methods Bilateral iliac screws were inserted in total of seven patients. Five patients under- went navigation guided iliac screw placement and freehand technique was performed in 2 patients. Results Total of 7 patients underwent minimally invasive iliac screw fixation in our series. The pathology in 4 of the cases was spondylodiscitis, among them 2 cases each at L5-S1 and L4-L5, one with the destruction of L5 vertebral body and the other with the destruction of both L4 and L5 vertebral bodies. Of the remaining cases, two cases , one case of sacral insufficiency fracture and the last case was implant failure after L2-L5 oblique lumbar fusion. None of the cases required conversion to open procedure or had wound or hardware related complications till the last follow-up. All patients had an uneventful post-operative period with improvement in pain scores and were mobilized on the 1st postoperative day. One 50-year-old female patient suffering from L5-S1 tubercular spondylodiscitis died due to underlying chronic kidney disease three months post-surgery. Conclusion Minimal invasive iliac screw placement with or without navigation offers the same biomechanical stability as the open approach but without the need for extensive soft tissue exposure needed for a conventional/open procedure; thereby reducing exposure-related complications , enhancing post-operative recovery and early mobilization. Incorporating intra-operative 3D navigation provides real-time multi-planar images which help in easy planning and safe screw placement whilst reducing radiation exposure.http://www.jmisst.org/upload/pdf/jmisst-2021-00304.pdfiliac screwsminimally invasive iliac screwpercutaneous iliac screwnavigation guided iliac screwlumbo-pelvic stabilization |
| spellingShingle | Umesh Srikantha Yadhu K Lokanath Akshay Hari Deepak Somasundar Ravi Gopal Varma Minimally Invasive Iliac Screw Insertion: Clinical Case Series and Technical Note Journal of Minimally Invasive Spine Surgery and Technique iliac screws minimally invasive iliac screw percutaneous iliac screw navigation guided iliac screw lumbo-pelvic stabilization |
| title | Minimally Invasive Iliac Screw Insertion: Clinical Case Series and Technical Note |
| title_full | Minimally Invasive Iliac Screw Insertion: Clinical Case Series and Technical Note |
| title_fullStr | Minimally Invasive Iliac Screw Insertion: Clinical Case Series and Technical Note |
| title_full_unstemmed | Minimally Invasive Iliac Screw Insertion: Clinical Case Series and Technical Note |
| title_short | Minimally Invasive Iliac Screw Insertion: Clinical Case Series and Technical Note |
| title_sort | minimally invasive iliac screw insertion clinical case series and technical note |
| topic | iliac screws minimally invasive iliac screw percutaneous iliac screw navigation guided iliac screw lumbo-pelvic stabilization |
| url | http://www.jmisst.org/upload/pdf/jmisst-2021-00304.pdf |
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