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A novel technique for sacropelvic fixation using image-guided sacroiliac screws: a case series and biomechanical study
In this study, we sought to assess the safety and accuracy of sacropelvic fixation performed with image-guided sacroiliac screw placement using postoperative computed tomography and X-rays. The sacroiliac screws were placed with navigation in five patients. Intact specimens were mounted onto a six-d...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Editorial Department of Journal of Biomedical Research
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6551428/ https://www.ncbi.nlm.nih.gov/pubmed/30249815 http://dx.doi.org/10.7555/JBR.32.20170077 |
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author | Kim, Kee D. Duong, Huy Muzumdar, Aditya Hussain, Mir Moldavsky, Mark Bucklen, Bandon |
author_facet | Kim, Kee D. Duong, Huy Muzumdar, Aditya Hussain, Mir Moldavsky, Mark Bucklen, Bandon |
author_sort | Kim, Kee D. |
collection | PubMed |
description | In this study, we sought to assess the safety and accuracy of sacropelvic fixation performed with image-guided sacroiliac screw placement using postoperative computed tomography and X-rays. The sacroiliac screws were placed with navigation in five patients. Intact specimens were mounted onto a six-degrees-of-freedom spine motion simulator. Long lumbosacral constructs using bilateral sacroiliac screws and bilateral S1 pedicle and iliac screws were tested in seven cadaveric spines. Nine sacroiliac screws were well-placed under an image guidance system (IGS); one was placed poorly without IGS with no symptoms. Both fixation techniques significantly reduced range of motion (P<0.05) at L5–S1. The research concluded that rigid lumbosacral fixation can be achieved with sacroiliac screws, and image guidance improves its safety and accuracy. This new technique of image-guided sacroiliac screw insertion should prove useful in many types of fusion to the sacrum, particularly for patients with poor bone quality, complicated anatomy, infection, previous failed fusion and iliac harvesting. |
format | Online Article Text |
id | pubmed-6551428 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Editorial Department of Journal of Biomedical Research |
record_format | MEDLINE/PubMed |
spelling | pubmed-65514282019-11-20 A novel technique for sacropelvic fixation using image-guided sacroiliac screws: a case series and biomechanical study Kim, Kee D. Duong, Huy Muzumdar, Aditya Hussain, Mir Moldavsky, Mark Bucklen, Bandon J Biomed Res Original Article In this study, we sought to assess the safety and accuracy of sacropelvic fixation performed with image-guided sacroiliac screw placement using postoperative computed tomography and X-rays. The sacroiliac screws were placed with navigation in five patients. Intact specimens were mounted onto a six-degrees-of-freedom spine motion simulator. Long lumbosacral constructs using bilateral sacroiliac screws and bilateral S1 pedicle and iliac screws were tested in seven cadaveric spines. Nine sacroiliac screws were well-placed under an image guidance system (IGS); one was placed poorly without IGS with no symptoms. Both fixation techniques significantly reduced range of motion (P<0.05) at L5–S1. The research concluded that rigid lumbosacral fixation can be achieved with sacroiliac screws, and image guidance improves its safety and accuracy. This new technique of image-guided sacroiliac screw insertion should prove useful in many types of fusion to the sacrum, particularly for patients with poor bone quality, complicated anatomy, infection, previous failed fusion and iliac harvesting. Editorial Department of Journal of Biomedical Research 2019 2018-06-15 /pmc/articles/PMC6551428/ /pubmed/30249815 http://dx.doi.org/10.7555/JBR.32.20170077 Text en /creativecommons.org/licenses/by/4.0/ This is an open access article under the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited |
spellingShingle | Original Article Kim, Kee D. Duong, Huy Muzumdar, Aditya Hussain, Mir Moldavsky, Mark Bucklen, Bandon A novel technique for sacropelvic fixation using image-guided sacroiliac screws: a case series and biomechanical study |
title | A novel technique for sacropelvic fixation using image-guided sacroiliac screws: a case series and biomechanical study |
title_full | A novel technique for sacropelvic fixation using image-guided sacroiliac screws: a case series and biomechanical study |
title_fullStr | A novel technique for sacropelvic fixation using image-guided sacroiliac screws: a case series and biomechanical study |
title_full_unstemmed | A novel technique for sacropelvic fixation using image-guided sacroiliac screws: a case series and biomechanical study |
title_short | A novel technique for sacropelvic fixation using image-guided sacroiliac screws: a case series and biomechanical study |
title_sort | novel technique for sacropelvic fixation using image-guided sacroiliac screws: a case series and biomechanical study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6551428/ https://www.ncbi.nlm.nih.gov/pubmed/30249815 http://dx.doi.org/10.7555/JBR.32.20170077 |
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