A Useful Preoperative Planning Technique for Transiliac-Transsacral Screws.
Stabilization of posterior pelvic ring injuries is increasingly performed using percutaneously placed iliosacral and transiliac-transsacral screws. Understanding the unique and specific anatomical variations present in each patient is paramount. Multiple methods of evaluating potential osseous fixation pathways for screw placement exist, but many require specific imaging protocols, specialized software, or modification of data. Not all surgeons and institutions have access to these options for a variety of reasons. A simple technique to preoperatively plan for safe transiliac-transsacral screws is proposed.
*Department of Orthopaedic Surgery, University of California Davis Medical Center, Sacramento, CA; and †Department of Orthopaedic Surgery, University of Texas Health Sciences Center, Houston, TX.
Justin F
JF
Lucas
Milton Lee Chip
ML
Routt
Jonathan G
JG
Eastman
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D011300:Preoperative Care / Q000379:methods*; D012189:Retrospective Studies; D012447:Sacrum / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult