Dokument: Navigation versus fluoroscopy in minimalinvasive iliosacral screw placement
| Titel: | Navigation versus fluoroscopy in minimalinvasive iliosacral screw placement | |||||||
| URL für Lesezeichen: | https://docserv.uni-duesseldorf.de/servlets/DocumentServlet?id=68124 | |||||||
| URN (NBN): | urn:nbn:de:hbz:061-20250117-113309-3 | |||||||
| Kollektion: | Publikationen | |||||||
| Sprache: | Englisch | |||||||
| Dokumententyp: | Wissenschaftliche Texte » Artikel, Aufsatz | |||||||
| Medientyp: | Text | |||||||
| Autoren: | Prost, Max [Autor] Taday, Roman [Autor] Beyersdorf, Carl Christoph Paul [Autor] Latz, David [Autor] Windolf, Joachim [Autor] Scheyerer, Max Joseph [Autor] Konieczny, Markus Rafael [Autor] | |||||||
| Dateien: |
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| Stichwörter: | Sacral insufficiency fracture, Iliosacral screw placement, Osteoporotic fractures, Navigation, Minimal invasiv surgery | |||||||
| Beschreibung: | Introduction
When needed operative treatment of sacral fractures is mostly performed with percutaneous iliosacral screw fixation. The advantage of navigation in insertion of pedicle screws already could be shown by former investigations. The aim of this investigation was now to analyze which influence iliosacral screw placement guided by navigation has on duration of surgery, radiation exposure and accuracy of screw placement compared to the technique guided by fluoroscopy. Methods 68 Consecutive patients with sacral fractures who have been treated by iliosacral screws were inclouded. Overall, 85 screws have been implanted in these patients. Beside of demographic data the duration of surgery, duration of radiation, dose of radiation and accuracy of screw placement were analyzed. Results When iliosacral screw placement was guided by navigation instead of fluoroscopy the dose of radiation per inserted screw (155.0 cGy*cm2 vs. 469.4 cGy*cm2 p < 0.0001) as well as the duration of radiation use (84.8 s vs. 147.5 s p < 0.0001) were significantly lower. The use of navigation lead to a significant reduction of duration of surgery (39.0 min vs. 60.1 min p < 0.01). The placement of the screws showed a significantly higher accuracy when performed by navigation (0 misplaced screws vs 6 misplaced screws—p < 0.0001). Conclusion Based on these results minimal invasive iliosacral screw placement guided by navigation seems to be a safe procedure, which leads to a reduced exposure to radiation for the patient and the surgeon, a reduced duration of surgery as well as a higher accuracy of screw placement. | |||||||
| Rechtliche Vermerke: | Originalveröffentlichung:
Prost, M., Taday, R., Beyersdorf, C. C. P., Latz, D., Windolf, J., Scheyerer, M. J., & Konieczny, M. (2024). Navigation versus fluoroscopy in minimalinvasive iliosacral screw placement. Journal of Orthopaedic Surgery and Research, 19, Article 185. https://doi.org/10.1186/s13018-024-04669-0 | |||||||
| Lizenz: |  Dieses Werk ist lizenziert unter einer Creative Commons Namensnennung 4.0 International Lizenz | |||||||
| Fachbereich / Einrichtung: | Medizinische Fakultät | |||||||
| Dokument erstellt am: | 17.01.2025 | |||||||
| Dateien geändert am: | 17.01.2025 |
