1. Navigation versus fluoroscopy in minimalinvasive iliosacral screw placement
- Author
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Max Prost, Roman Taday, Carl Christoph Paul Beyersdorf, David Latz, Joachim Windolf, Max Joseph Scheyerer, and Markus Rafael Konieczny
- Subjects
Navigation ,Minimal invasiv surgery ,Iliosacral screw placement ,Osteoporotic fractures ,Sacral insufficiency fracture ,Orthopedic surgery ,RD701-811 ,Diseases of the musculoskeletal system ,RC925-935 - Abstract
Abstract 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
- Published
- 2024
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