Percutaneous Placement of Iliosacral Screws Under the Guidance of Axial View Projection of the S1 Pedicle: a Case Series
Abstract The aim of this study was to evaluate the safety and efficacy of percutaneous placement of iliosacral screws under the guidance of axial view projection of the S1 pedicle clinically. This case series includes 58 consecutive unstable pelvic injury patients, which were treated with iliosacral...
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| Format: | Article |
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Nature Portfolio
2017-08-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-017-08262-w |
| _version_ | 1818425274848509952 |
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| author | Yingchao Yin Zhiyong Hou Ruipeng Zhang Lin Jin Wei Chen Yingze Zhang |
| author_facet | Yingchao Yin Zhiyong Hou Ruipeng Zhang Lin Jin Wei Chen Yingze Zhang |
| author_sort | Yingchao Yin |
| collection | DOAJ |
| description | Abstract The aim of this study was to evaluate the safety and efficacy of percutaneous placement of iliosacral screws under the guidance of axial view projection of the S1 pedicle clinically. This case series includes 58 consecutive unstable pelvic injury patients, which were treated with iliosacral screws between July 2011 and July 2016. Patients were divided into two groups: normal sacrum (n = 31) and dysmorphic sacrum (n = 27). A single orthopedic surgeon operated on all patients, with percutaneous placement of iliosacral screws under the guidance of axial view projection of the S1 pedicle. The time needed for screw insertion and the radiation exposure time were recorded. Chi-squared test and Student t-test were used to analyze the differences between the two groups. Sacral dysmorphism was present in 47% of patients. The median time for screw insertion and radiation exposure time in these two groups showed no statistical difference (P > 0.05). No clinical complications or malpositioned screws occurred in any case. Preoperative pelvic CT is necessary to determine the sacral osseous anatomy. In patients with either a normal or dysmorphic sacrum, iliosacral screws can be placed by this method with less radiation exposure and complications than in the conventional method. |
| first_indexed | 2024-12-14T14:11:20Z |
| format | Article |
| id | doaj.art-a36a07fb1bad45b18e22e274a40a524b |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-14T14:11:20Z |
| publishDate | 2017-08-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-a36a07fb1bad45b18e22e274a40a524b2022-12-21T22:58:18ZengNature PortfolioScientific Reports2045-23222017-08-01711710.1038/s41598-017-08262-wPercutaneous Placement of Iliosacral Screws Under the Guidance of Axial View Projection of the S1 Pedicle: a Case SeriesYingchao Yin0Zhiyong Hou1Ruipeng Zhang2Lin Jin3Wei Chen4Yingze Zhang5Department of Orthopaedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, Third Hospital of Hebei Medical UniversityAbstract The aim of this study was to evaluate the safety and efficacy of percutaneous placement of iliosacral screws under the guidance of axial view projection of the S1 pedicle clinically. This case series includes 58 consecutive unstable pelvic injury patients, which were treated with iliosacral screws between July 2011 and July 2016. Patients were divided into two groups: normal sacrum (n = 31) and dysmorphic sacrum (n = 27). A single orthopedic surgeon operated on all patients, with percutaneous placement of iliosacral screws under the guidance of axial view projection of the S1 pedicle. The time needed for screw insertion and the radiation exposure time were recorded. Chi-squared test and Student t-test were used to analyze the differences between the two groups. Sacral dysmorphism was present in 47% of patients. The median time for screw insertion and radiation exposure time in these two groups showed no statistical difference (P > 0.05). No clinical complications or malpositioned screws occurred in any case. Preoperative pelvic CT is necessary to determine the sacral osseous anatomy. In patients with either a normal or dysmorphic sacrum, iliosacral screws can be placed by this method with less radiation exposure and complications than in the conventional method.https://doi.org/10.1038/s41598-017-08262-w |
| spellingShingle | Yingchao Yin Zhiyong Hou Ruipeng Zhang Lin Jin Wei Chen Yingze Zhang Percutaneous Placement of Iliosacral Screws Under the Guidance of Axial View Projection of the S1 Pedicle: a Case Series Scientific Reports |
| title | Percutaneous Placement of Iliosacral Screws Under the Guidance of Axial View Projection of the S1 Pedicle: a Case Series |
| title_full | Percutaneous Placement of Iliosacral Screws Under the Guidance of Axial View Projection of the S1 Pedicle: a Case Series |
| title_fullStr | Percutaneous Placement of Iliosacral Screws Under the Guidance of Axial View Projection of the S1 Pedicle: a Case Series |
| title_full_unstemmed | Percutaneous Placement of Iliosacral Screws Under the Guidance of Axial View Projection of the S1 Pedicle: a Case Series |
| title_short | Percutaneous Placement of Iliosacral Screws Under the Guidance of Axial View Projection of the S1 Pedicle: a Case Series |
| title_sort | percutaneous placement of iliosacral screws under the guidance of axial view projection of the s1 pedicle a case series |
| url | https://doi.org/10.1038/s41598-017-08262-w |
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