title: Image-guided percutaneous internal fixation of sacral fracture.
abstract: Percutaneous iliosacral screw placement is a technically challenging procedure with a significant complication profile for misplaced screws. The use of stereotactic image guidance has been shown to provide superior accuracy in the placement of spinal instrumentation. Here, the authors describe a novel application of O-arm technology (Medtronic Sofamor Danek, Memphis, TN, USA) to help safely place iliosacral screws for the treatment of a traumatic sacral fracture.
authors.affiliation: Department of Neurosurgery, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA. Electronic address: mdkinon@gmail.com.
authors.forename: Merritt D
authors.initials: MD
authors.lastname: Kinon
authors.affiliation: Duke University School of Medicine, Durham, NC, USA.
authors.forename: Rupen
authors.initials: R
authors.lastname: Desai
authors.affiliation: Duke University School of Medicine, Durham, NC, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Loriaux
authors.affiliation: Marcus Neuroscience Institute at the Boca Raton Regional Hospital, Boca Raton, FL, USA.
authors.forename: John K
authors.initials: JK
authors.lastname: Houten
mesh_terms: D000293:Adolescent; D001863:Bone Screws; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D007430:Intraoperative Care / Q000295:instrumentation / Q000379:methods; D008297:Male; D012447:Sacrum / Q000000981:diagnostic imaging* / Q000293:injuries / Q000601:surgery; D016103:Spinal Fractures / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000295:instrumentation / Q000379:methods*
keywords: CT guided navigation; Iliosacral instrumentation; Sacral fracture; Spinal fusion; Spine trauma; Trauma