Accuracy of computer-guided screw fixation of the sacroiliac joint.

Details

Serval ID
serval:BIB_333B6DB482D3
Type
Article: article from journal or magazin.
Collection
Publications
Title
Accuracy of computer-guided screw fixation of the sacroiliac joint.
Journal
Clinical Orthopaedics and Related Research
Author(s)
Gautier E., Bächler R., Heini P.F., Nolte L.P.
ISSN
0009-921X (Print)
ISSN-L
0009-921X
Publication state
Published
Issued date
2001
Number
393
Pages
310-317
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Abstract
Computer-assisted image guidance allows precise preoperative planning and intraoperative localization of surgical instruments. The technique recently was validated for the insertion of pedicle screws. In the laboratory, the precision of a surface-matching algorithm was evaluated for registration and accuracy and safety of screw placement into the vertebral bodies of S1 and S2 for fixation of the sacroiliac joint. Using six plastic pelves, 24 screw holes were made through the sacroiliac joint into the vertebral body of S1, and 12 holes were made through the sacroiliac joint into S2. The accuracy of the hole position was evaluated using a postoperative computed tomography examination. The safety factor was assessed by analysis of the remaining bone stock around the holes calculating a theoretical cylindrical volume being outside bone with increasing bore hole diameters. The registration was accurate with a mean error less than 1.4 mm in the posterior parts of the pelvis. The drilling followed precisely the preoperatively planned trajectories; perforation of the cortex of the sacrum was not observed. The safety factor of the S1 vertebral body is higher than that of S2 allowing larger diameter screw insertion into S1. This technique provides a safe and precise guide for transcutaneous or open insertion of iliosacral screws in cases of iliosacral dislocation or sacral fracture.
Keywords
Algorithms, Bone Screws, Fracture Fixation, Humans, Sacroiliac Joint/injuries, Surgery, Computer-Assisted
Pubmed
Web of science
Create date
26/11/2012 19:14
Last modification date
20/08/2019 13:19
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