Computed tomography fluoroscopy-guided placement of iliosacral screws in patients with unstable posterior pelvic fractures

Toshihiro Iguchi, Ken Ichi Ogawa, Takeshi Doi, Koji Miyasho, Kazuo Munetomo, Takao Hiraki, Toshifumi Ozaki, Susumu Kanazawa

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective The purpose of this study was to evaluate retrospectively the safety and effectiveness of the computed tomography (CT) fluoroscopy-guided placement of iliosacral screws in patients with unstable posterior pelvic fractures. Materials and methods Six patients (four women and two men; mean age 55.8 years; range 35-77 years) with unstable posterior pelvic fractures underwent iliosacral screw placement under CT fluoroscopy guidance between November 2007 and August 2008. Unstable pelvic rin injury (AO types B and C) was the indication for this procedure. Results In all the six patients except one, CT fluoroscopyguided placement had been technically successful. In one patient, a second screw had been inserted, with a tilt to the caudal site, and slightly advanced into the extrasacral body; afterward, it could be exchanged safely for a shorter screw. Five patients and one patient underwent placement of two screws and one screw, respectively. The mean duration of the procedure was 15.0 min (range 9-30 min) per screw; the duration was 12.3 min and 18.2 min for the first and second screws, respectively. No complications requiring treatment occurred during or after the procedure. The mean clinical and radiologic follow-up period was 14 months (range 6-21 months). All pelvic injuries had healed satisfactorily, without complication, and all patients are now doing well clinically and can walk. Conclusion CT fluoroscopy-guided placement of iliosacral screws is a safe and effective treatment in patients with unstable posterior pelvic fractures.

Original languageEnglish
Pages (from-to)701-705
Number of pages5
JournalSkeletal Radiology
Volume39
Issue number7
DOIs
Publication statusPublished - Jul 2010

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Fluoroscopy
Tomography
Wounds and Injuries
Safety
Therapeutics

Keywords

  • Computed tomography fluoroscopy
  • Fracture
  • Pelvis
  • Screw fixation

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

Cite this

Computed tomography fluoroscopy-guided placement of iliosacral screws in patients with unstable posterior pelvic fractures. / Iguchi, Toshihiro; Ogawa, Ken Ichi; Doi, Takeshi; Miyasho, Koji; Munetomo, Kazuo; Hiraki, Takao; Ozaki, Toshifumi; Kanazawa, Susumu.

In: Skeletal Radiology, Vol. 39, No. 7, 07.2010, p. 701-705.

Research output: Contribution to journalArticle

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AB - Objective The purpose of this study was to evaluate retrospectively the safety and effectiveness of the computed tomography (CT) fluoroscopy-guided placement of iliosacral screws in patients with unstable posterior pelvic fractures. Materials and methods Six patients (four women and two men; mean age 55.8 years; range 35-77 years) with unstable posterior pelvic fractures underwent iliosacral screw placement under CT fluoroscopy guidance between November 2007 and August 2008. Unstable pelvic rin injury (AO types B and C) was the indication for this procedure. Results In all the six patients except one, CT fluoroscopyguided placement had been technically successful. In one patient, a second screw had been inserted, with a tilt to the caudal site, and slightly advanced into the extrasacral body; afterward, it could be exchanged safely for a shorter screw. Five patients and one patient underwent placement of two screws and one screw, respectively. The mean duration of the procedure was 15.0 min (range 9-30 min) per screw; the duration was 12.3 min and 18.2 min for the first and second screws, respectively. No complications requiring treatment occurred during or after the procedure. The mean clinical and radiologic follow-up period was 14 months (range 6-21 months). All pelvic injuries had healed satisfactorily, without complication, and all patients are now doing well clinically and can walk. Conclusion CT fluoroscopy-guided placement of iliosacral screws is a safe and effective treatment in patients with unstable posterior pelvic fractures.

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