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Application of the pedicle axis view in percutaneous screw placement for type III fracture dislocation of the sacroiliac joint

AIM: To investigate the clinical application of axial view projection of the pedicle in percutaneous screw placement for type III fracture dislocation of the sacroiliac joint. METHODS: Percutaneous sacroiliac screw fixation was performed in 29 patients with type III sacroiliac joint fractures under...

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Autores principales: Zhao, Zhongzhen, Zheng, Guofu, Chu, Xiaodong, Wang, Shuofan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10064750/
https://www.ncbi.nlm.nih.gov/pubmed/37004039
http://dx.doi.org/10.1186/s12891-023-06333-w
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author Zhao, Zhongzhen
Zheng, Guofu
Chu, Xiaodong
Wang, Shuofan
author_facet Zhao, Zhongzhen
Zheng, Guofu
Chu, Xiaodong
Wang, Shuofan
author_sort Zhao, Zhongzhen
collection PubMed
description AIM: To investigate the clinical application of axial view projection of the pedicle in percutaneous screw placement for type III fracture dislocation of the sacroiliac joint. METHODS: Percutaneous sacroiliac screw fixation was performed in 29 patients with type III sacroiliac joint fractures under X-ray fluoroscopy (C-arm) using axial view projection of the pedicle after preoperative traction reduction and preoperative preparation. The study included 19 males and 10 females, aged 20 to 75 years old, with a mean age of 42.1 ± 3.4 years. RESULTS: The total operative time ranged between 44 and 135 min, with a mean of 95.5 ± 9.4 min. The intraoperative fluoroscopy time ranged between 15 and 42 s, with a mean of 25 ± 4.7 s. The intraoperative blood loss ranged between 5 and 10 ml, with a mean of 7.1 ± 1.3 ml. According to the Matta scoring system, excellent outcomes were achieved in 25 cases, whereas good outcomes were achieved in 4 cases. Based on the definition by Neo et al., pedicle screw positions were categorized into four grades: grade 0 (33 screws), grade I (2 screws), grade II (2 screws), and grade III (0 screws). Excellent outcomes were achieved in 94.6% of Grade 0 and I screws. According to Majeed’s functional score, 21 cases achieved excellent outcomes, whereas 8 cases achieved good outcomes. The 29 patients were followed between 3 and 18 months, with a mean of 7.1 ± 1.2 months. All patients achieved anatomical reduction with accurate screw placement and successful healing of their fractures, with no cases of bone penetration or neurovascular injury. CONCLUSION: Axial view imaging of the pedicle using fluoroscopy is a convenient and rapid fluoroscopy method for percutaneous screw placement for type III fracture dislocation of the sacroiliac joint, with a high rate of success, good safety, and short fluoroscopy time.
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spelling pubmed-100647502023-04-01 Application of the pedicle axis view in percutaneous screw placement for type III fracture dislocation of the sacroiliac joint Zhao, Zhongzhen Zheng, Guofu Chu, Xiaodong Wang, Shuofan BMC Musculoskelet Disord Research AIM: To investigate the clinical application of axial view projection of the pedicle in percutaneous screw placement for type III fracture dislocation of the sacroiliac joint. METHODS: Percutaneous sacroiliac screw fixation was performed in 29 patients with type III sacroiliac joint fractures under X-ray fluoroscopy (C-arm) using axial view projection of the pedicle after preoperative traction reduction and preoperative preparation. The study included 19 males and 10 females, aged 20 to 75 years old, with a mean age of 42.1 ± 3.4 years. RESULTS: The total operative time ranged between 44 and 135 min, with a mean of 95.5 ± 9.4 min. The intraoperative fluoroscopy time ranged between 15 and 42 s, with a mean of 25 ± 4.7 s. The intraoperative blood loss ranged between 5 and 10 ml, with a mean of 7.1 ± 1.3 ml. According to the Matta scoring system, excellent outcomes were achieved in 25 cases, whereas good outcomes were achieved in 4 cases. Based on the definition by Neo et al., pedicle screw positions were categorized into four grades: grade 0 (33 screws), grade I (2 screws), grade II (2 screws), and grade III (0 screws). Excellent outcomes were achieved in 94.6% of Grade 0 and I screws. According to Majeed’s functional score, 21 cases achieved excellent outcomes, whereas 8 cases achieved good outcomes. The 29 patients were followed between 3 and 18 months, with a mean of 7.1 ± 1.2 months. All patients achieved anatomical reduction with accurate screw placement and successful healing of their fractures, with no cases of bone penetration or neurovascular injury. CONCLUSION: Axial view imaging of the pedicle using fluoroscopy is a convenient and rapid fluoroscopy method for percutaneous screw placement for type III fracture dislocation of the sacroiliac joint, with a high rate of success, good safety, and short fluoroscopy time. BioMed Central 2023-03-31 /pmc/articles/PMC10064750/ /pubmed/37004039 http://dx.doi.org/10.1186/s12891-023-06333-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Zhao, Zhongzhen
Zheng, Guofu
Chu, Xiaodong
Wang, Shuofan
Application of the pedicle axis view in percutaneous screw placement for type III fracture dislocation of the sacroiliac joint
title Application of the pedicle axis view in percutaneous screw placement for type III fracture dislocation of the sacroiliac joint
title_full Application of the pedicle axis view in percutaneous screw placement for type III fracture dislocation of the sacroiliac joint
title_fullStr Application of the pedicle axis view in percutaneous screw placement for type III fracture dislocation of the sacroiliac joint
title_full_unstemmed Application of the pedicle axis view in percutaneous screw placement for type III fracture dislocation of the sacroiliac joint
title_short Application of the pedicle axis view in percutaneous screw placement for type III fracture dislocation of the sacroiliac joint
title_sort application of the pedicle axis view in percutaneous screw placement for type iii fracture dislocation of the sacroiliac joint
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10064750/
https://www.ncbi.nlm.nih.gov/pubmed/37004039
http://dx.doi.org/10.1186/s12891-023-06333-w
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