دورية أكاديمية
أعرض في EDS

Technical and clinical outcome of percutaneous CT fluoroscopy-guided screw placement in unstable injuries of the posterior pelvic ring.

التفاصيل البيبلوغرافية
العنوان: Technical and clinical outcome of percutaneous CT fluoroscopy-guided screw placement in unstable injuries of the posterior pelvic ring.
المؤلفون: Strobl FF; Institute for Clinical Radiology, Marchioninistr. 15, 81377, Munich, Germany, frederik.strobl@med.lmu.de., Haeussler SM, Paprottka PM, Hoffmann RT, Pieske O, Reiser MF, Trumm CG
المصدر: Skeletal radiology [Skeletal Radiol] 2014 Aug; Vol. 43 (8), pp. 1093-100. Date of Electronic Publication: 2014 May 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Verlag Country of Publication: Germany NLM ID: 7701953 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2161 (Electronic) Linking ISSN: 03642348 NLM ISO Abbreviation: Skeletal Radiol Subsets: MEDLINE
أسماء مطبوعة: Publication: Berlin : Springer Verlag
Original Publication: Berlin, New York, Springer International.
مواضيع طبية MeSH: Bone Screws*, Fracture Fixation, Internal/*methods , Fractures, Bone/*surgery , Pelvic Bones/*surgery , Radiography, Interventional/*methods , Tomography, X-Ray Computed/*methods, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Female ; Fluoroscopy/methods ; Follow-Up Studies ; Fractures, Bone/diagnostic imaging ; Humans ; Male ; Middle Aged ; Pelvic Bones/diagnostic imaging ; Pelvis ; Radiation Dosage ; Retrospective Studies ; Treatment Outcome ; Young Adult
مستخلص: Purpose: To evaluate technical success, complications, and effective dose in patients undergoing CT fluoroscopy-guided iliosacral screw placement for the fixation of unstable posterior pelvic ring injuries.
Materials and Methods: Our retrospective analysis includes all consecutive patients with vertical sacral fractures and/or injury of the iliosacral joint treated with CT fluoroscopy-guided screw placement in our department from 11/2005 to 03/2013. Interventions were carried out under general anesthesia and CT fluoroscopy (10-20 mAs; 120 kV; 16- or 128-row scanner, Siemens Healthcare, Erlangen, Germany). Technical outcome, major and minor complications, and effective patient dose were analyzed.
Results: We treated 99 consecutive patients (mean age 53.1 ± 21.7 years, 50 male, 49 female) with posterior pelvic ring instability with CT fluoroscopy-guided screw placement. Intervention was technically successful in all patients (n = 99). No major and one minor local complication occurred (1 %, secondary screw dislocation). General complications included three cases of death (3 %) due to pulmonary embolism (n = 1), hemorrhagic shock (n = 1), or cardiac event (n = 1) during a follow-up period of 30 days. General complications were not related to the intervention. Mean effective patient radiation dose per intervention was 12.28 mSv ± 7.25 mSv. Mean procedural time was 72.1 ± 37.4 min.
Conclusions: CT fluoroscopy-guided screw placement for the treatment of posterior pelvic ring instabilities can be performed with high technical success and a low complication rate. This method provides excellent intrainterventional visualization of iliac and sacral bones, as well as the sacral neuroforamina for precise screw placement by applying an acceptable effective patient dose.
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تواريخ الأحداث: Date Created: 20140513 Date Completed: 20150330 Latest Revision: 20220310
رمز التحديث: 20240628
DOI: 10.1007/s00256-014-1890-x
PMID: 24816855
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-2161
DOI:10.1007/s00256-014-1890-x