Navigated percutaneous pelvic sacroiliac screw fixation: experimental comparison of accuracy between fluoroscopy and Iso-C3D navigation.
Percutaneous sacroiliac screw fixation is technically demanding and can result in complications mainly related to imaging problems. Furthermore, the conventional technique performed using fluoroscopic control is associated with a long radiation exposure. The purpose of this study was to evaluate the accuracy of two navigation technologies used in traumatology; fluoroscopy and Iso-C3D navigation. A total of 40 screws were placed (20 with Iso-C3D, 20 with 2D fluoroscopy) at levels S1 and S2. With both technologies, all S1 screws could be placed correctly, but four (10%) incorrect placements were seen at S2 with fluoroscopy navigation. With all Iso-C3D navigated drillings, no perforation was seen. Iso-C3D navigation therefore proved superior to 2D fluoroscopy navigation for sacroiliac screw fixation in an experimental set-up designed to assess accuracy.
Citak
M
M
Trauma Department, Hannover Medical School, Hannover, Germany. citak@web.de
Hüfner
T
T
Geerling
J
J
Kfuri
M
M
Gänsslen
A
A
Look
V
V
Kendoff
D
D
Krettek
C
C
D001863:Bone Screws; D005471:Fluoroscopy; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D012446:Sacroiliac Joint / Q000293:injuries / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods*