Titre
Accuracy of computer-guided screw fixation of the sacroiliac joint.
Type
article
Institution
Externe
Périodique
Auteur(s)
Gautier, E.
Auteure/Auteur
Bächler, R.
Auteure/Auteur
Heini, P.F.
Auteure/Auteur
Nolte, L.P.
Auteure/Auteur
Liens vers les personnes
ISSN
0009-921X
Statut éditorial
Publié
Date de publication
2001
Numéro
393
Première page
310
Dernière page/numéro d’article
317
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Résumé
Computer-assisted image guidance allows precise preoperative planning and intraoperative localization of surgical instruments. The technique recently was validated for the insertion of pedicle screws. In the laboratory, the precision of a surface-matching algorithm was evaluated for registration and accuracy and safety of screw placement into the vertebral bodies of S1 and S2 for fixation of the sacroiliac joint. Using six plastic pelves, 24 screw holes were made through the sacroiliac joint into the vertebral body of S1, and 12 holes were made through the sacroiliac joint into S2. The accuracy of the hole position was evaluated using a postoperative computed tomography examination. The safety factor was assessed by analysis of the remaining bone stock around the holes calculating a theoretical cylindrical volume being outside bone with increasing bore hole diameters. The registration was accurate with a mean error less than 1.4 mm in the posterior parts of the pelvis. The drilling followed precisely the preoperatively planned trajectories; perforation of the cortex of the sacrum was not observed. The safety factor of the S1 vertebral body is higher than that of S2 allowing larger diameter screw insertion into S1. This technique provides a safe and precise guide for transcutaneous or open insertion of iliosacral screws in cases of iliosacral dislocation or sacral fracture.
PID Serval
serval:BIB_333B6DB482D3
PMID
Date de création
2012-11-26T18:14:18.241Z
Date de création dans IRIS
2025-05-20T18:50:36Z