Application of sacral slope position imaging monitoring in sacroiliac joint screw fixation
10.3760/cma.j.issn.1001-8050.2010.05.020
- VernacularTitle:骶骨斜坡位影像学监测在经皮骶髂关节螺钉固定中的应用
- Author:
Zhichao GAO
;
Mei WANG
;
Miaolin ZHANG
;
Chun ZHANG
;
Weimin ZHU
- Publication Type:Journal Article
- Keywords:
Pelvis;
Fracture fixation,internal;
Sacroiliac articulation screw,percutaneous
- From:
Chinese Journal of Trauma
2010;26(5):442-446
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the operation methods and curative effect of sacroiliac joint screw fixation by using traditional imaging monitoring technique in combination with sacral slope position imaging monitoring technique. Methods After bone traction and enema cleansing, 37 patients with pelvic fractures were fixed with sacroiliac joint screws, which was monitored under C-armed X ray machine at slope position, inlet and outlet views. There were 23 males and 14 females, at average age of 30. 8 years (18-63 years). Results All the patients were followed up for 4-23 months (average 9. 8 months) , which showed basic anatomical restoration in 28 patients, coronal section dislocation for 2 mm in seven and dislocation for 5 mm in two. All fractures were healed, with no nerve or blood vessel complications found. According to Majeed scoring, the excellence rate was up to 94. 5%. Conclusions Combined use of traditional imaging monitoring and sacral slope position imaging monitoring can help improve the safety of percutaneous iliosacral screw fixation, simplify operation process and shorten operation time.