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Accuracy of navigated and conventional iliosacral screw placement in B- and C-type pelvic ring fractures

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Accuracy of navigated and conventional iliosacral screw placement in B- and C-type pelvic ring fractures. / Berger-Groch, Josephine; Lueers, Marie; Rueger, Johannes Maria; Lehmann, Wolfgang; Thiesen, Darius; Kolb, Jan Philipp; Hartel, Maximilian Johannes; Grossterlinden, Lars Gerhard.

in: EUR J TRAUMA EMERG S, Jahrgang 46, Nr. 1, 18.02.2020, S. 107-113.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Berger-Groch, J, Lueers, M, Rueger, JM, Lehmann, W, Thiesen, D, Kolb, JP, Hartel, MJ & Grossterlinden, LG 2020, 'Accuracy of navigated and conventional iliosacral screw placement in B- and C-type pelvic ring fractures', EUR J TRAUMA EMERG S, Jg. 46, Nr. 1, S. 107-113. https://doi.org/10.1007/s00068-018-0990-z

APA

Berger-Groch, J., Lueers, M., Rueger, J. M., Lehmann, W., Thiesen, D., Kolb, J. P., Hartel, M. J., & Grossterlinden, L. G. (2020). Accuracy of navigated and conventional iliosacral screw placement in B- and C-type pelvic ring fractures. EUR J TRAUMA EMERG S, 46(1), 107-113. https://doi.org/10.1007/s00068-018-0990-z

Vancouver

Berger-Groch J, Lueers M, Rueger JM, Lehmann W, Thiesen D, Kolb JP et al. Accuracy of navigated and conventional iliosacral screw placement in B- and C-type pelvic ring fractures. EUR J TRAUMA EMERG S. 2020 Feb 18;46(1):107-113. https://doi.org/10.1007/s00068-018-0990-z

Bibtex

@article{c3e6ee9c64f54fe3830914762e4722e7,
title = "Accuracy of navigated and conventional iliosacral screw placement in B- and C-type pelvic ring fractures",
abstract = "INTRODUCTION: The objective of this study is to report the institutions experiences with standardized 2D computer-navigated percutaneous iliosacral screw placement (CNS), as well as the conventional fluoroscopically assisted screw placement method (CF) over a period of 10 years.PATIENTS AND METHODS: A total of 604 patients with sacral fractures (OTA B and C) were treated at the institution. Cases with both, a preoperative and postoperative CT scan were included for further analysis. With this prerequisite, a total of 136 cases were included. The quality of screw positioning, length of operation and intraoperative radiation exposure were recorded and compared. Moreover, it was analyzed whether the presence of dysmorphic sacra influenced the precision of screw positioning.RESULTS: Two hundred and thirty-two screws were implanted in 136 patients (100 navigated, 36 conventional). The duration of the average procedure was similar in the two groups [49.8 min (p = 0.7) conventional group (CF) vs. 48.0 min computer-navigated (CNS) group]. With computer navigation, radiation exposure was significantly reduced by almost half [128.3 vs. 65.2 s (p = 0.023)]. Screw placement was more accurate in the navigation group (79.03% CF vs. 86.47% CNS). The presence of dysmorphic sacral foramina or an increased alar slope increased the incidence of screw malpositioning.CONCLUSION: The conventional percutaneous method and a standardized 2D navigated method have similar rates of malpositioning. Dysmorphic upper sacral foramina and increased alar slope were identified as risk factors for screw malpositioning. Radiation exposure rates were reduced by half when using computer navigation. Therefore, computer navigation in iliosacral screw placement is recommended as method of choice.",
keywords = "Journal Article",
author = "Josephine Berger-Groch and Marie Lueers and Rueger, {Johannes Maria} and Wolfgang Lehmann and Darius Thiesen and Kolb, {Jan Philipp} and Hartel, {Maximilian Johannes} and Grossterlinden, {Lars Gerhard}",
year = "2020",
month = feb,
day = "18",
doi = "10.1007/s00068-018-0990-z",
language = "English",
volume = "46",
pages = "107--113",
journal = "EUR J TRAUMA EMERG S",
issn = "1863-9933",
publisher = "Urban und Vogel",
number = "1",

}

RIS

TY - JOUR

T1 - Accuracy of navigated and conventional iliosacral screw placement in B- and C-type pelvic ring fractures

AU - Berger-Groch, Josephine

AU - Lueers, Marie

AU - Rueger, Johannes Maria

AU - Lehmann, Wolfgang

AU - Thiesen, Darius

AU - Kolb, Jan Philipp

AU - Hartel, Maximilian Johannes

AU - Grossterlinden, Lars Gerhard

PY - 2020/2/18

Y1 - 2020/2/18

N2 - INTRODUCTION: The objective of this study is to report the institutions experiences with standardized 2D computer-navigated percutaneous iliosacral screw placement (CNS), as well as the conventional fluoroscopically assisted screw placement method (CF) over a period of 10 years.PATIENTS AND METHODS: A total of 604 patients with sacral fractures (OTA B and C) were treated at the institution. Cases with both, a preoperative and postoperative CT scan were included for further analysis. With this prerequisite, a total of 136 cases were included. The quality of screw positioning, length of operation and intraoperative radiation exposure were recorded and compared. Moreover, it was analyzed whether the presence of dysmorphic sacra influenced the precision of screw positioning.RESULTS: Two hundred and thirty-two screws were implanted in 136 patients (100 navigated, 36 conventional). The duration of the average procedure was similar in the two groups [49.8 min (p = 0.7) conventional group (CF) vs. 48.0 min computer-navigated (CNS) group]. With computer navigation, radiation exposure was significantly reduced by almost half [128.3 vs. 65.2 s (p = 0.023)]. Screw placement was more accurate in the navigation group (79.03% CF vs. 86.47% CNS). The presence of dysmorphic sacral foramina or an increased alar slope increased the incidence of screw malpositioning.CONCLUSION: The conventional percutaneous method and a standardized 2D navigated method have similar rates of malpositioning. Dysmorphic upper sacral foramina and increased alar slope were identified as risk factors for screw malpositioning. Radiation exposure rates were reduced by half when using computer navigation. Therefore, computer navigation in iliosacral screw placement is recommended as method of choice.

AB - INTRODUCTION: The objective of this study is to report the institutions experiences with standardized 2D computer-navigated percutaneous iliosacral screw placement (CNS), as well as the conventional fluoroscopically assisted screw placement method (CF) over a period of 10 years.PATIENTS AND METHODS: A total of 604 patients with sacral fractures (OTA B and C) were treated at the institution. Cases with both, a preoperative and postoperative CT scan were included for further analysis. With this prerequisite, a total of 136 cases were included. The quality of screw positioning, length of operation and intraoperative radiation exposure were recorded and compared. Moreover, it was analyzed whether the presence of dysmorphic sacra influenced the precision of screw positioning.RESULTS: Two hundred and thirty-two screws were implanted in 136 patients (100 navigated, 36 conventional). The duration of the average procedure was similar in the two groups [49.8 min (p = 0.7) conventional group (CF) vs. 48.0 min computer-navigated (CNS) group]. With computer navigation, radiation exposure was significantly reduced by almost half [128.3 vs. 65.2 s (p = 0.023)]. Screw placement was more accurate in the navigation group (79.03% CF vs. 86.47% CNS). The presence of dysmorphic sacral foramina or an increased alar slope increased the incidence of screw malpositioning.CONCLUSION: The conventional percutaneous method and a standardized 2D navigated method have similar rates of malpositioning. Dysmorphic upper sacral foramina and increased alar slope were identified as risk factors for screw malpositioning. Radiation exposure rates were reduced by half when using computer navigation. Therefore, computer navigation in iliosacral screw placement is recommended as method of choice.

KW - Journal Article

U2 - 10.1007/s00068-018-0990-z

DO - 10.1007/s00068-018-0990-z

M3 - SCORING: Journal article

C2 - 30030551

VL - 46

SP - 107

EP - 113

JO - EUR J TRAUMA EMERG S

JF - EUR J TRAUMA EMERG S

SN - 1863-9933

IS - 1

ER -