Skeletal Radiology

, Volume 39, Issue 7, pp 701–705

Computed tomography fluoroscopy-guided placement of iliosacral screws in patients with unstable posterior pelvic fractures

  • Toshihiro Iguchi
  • Ken-Ichi Ogawa
  • Takeshi Doi
  • Koji Miyasho
  • Kazuo Munetomo
  • Takao Hiraki
  • Toshifumi Ozaki
  • Susumu Kanazawa
Technical Report

DOI: 10.1007/s00256-009-0826-3

Cite this article as:
Iguchi, T., Ogawa, K., Doi, T. et al. Skeletal Radiol (2010) 39: 701. doi:10.1007/s00256-009-0826-3

Abstract

Objective

The purpose of this study was to evaluate retrospectively the safety and effectiveness of the computed tomography (CT) fluoroscopy-guided placement of iliosacral screws in patients with unstable posterior pelvic fractures.

Materials and methods

Six patients (four women and two men; mean age 55.8 years; range 35–77 years) with unstable posterior pelvic fractures underwent iliosacral screw placement under CT fluoroscopy guidance between November 2007 and August 2008. Unstable pelvic ring injury (AO types B and C) was the indication for this procedure.

Results

In all the six patients except one, CT fluoroscopy-guided placement had been technically successful. In one patient, a second screw had been inserted, with a tilt to the caudal site, and slightly advanced into the extrasacral body; afterward, it could be exchanged safely for a shorter screw. Five patients and one patient underwent placement of two screws and one screw, respectively. The mean duration of the procedure was 15.0 min (range 9–30 min) per screw; the duration was 12.3 min and 18.2 min for the first and second screws, respectively. No complications requiring treatment occurred during or after the procedure. The mean clinical and radiologic follow-up period was 14 months (range 6–21 months). All pelvic injuries had healed satisfactorily, without complication, and all patients are now doing well clinically and can walk.

Conclusion

CT fluoroscopy-guided placement of iliosacral screws is a safe and effective treatment in patients with unstable posterior pelvic fractures.

Keywords

PelvisFractureScrew fixationComputed tomography fluoroscopy

Copyright information

© ISS 2009

Authors and Affiliations

  • Toshihiro Iguchi
    • 1
  • Ken-Ichi Ogawa
    • 2
  • Takeshi Doi
    • 2
  • Koji Miyasho
    • 3
  • Kazuo Munetomo
    • 2
  • Takao Hiraki
    • 4
  • Toshifumi Ozaki
    • 5
  • Susumu Kanazawa
    • 4
  1. 1.Department of RadiologyFukuyama City HospitalFukuyamaJapan
  2. 2.Division of Orthopaedic TraumaFukuyama City Hospital Emergency Medical CenterFukuyamaJapan
  3. 3.Fukuyama City Hospital Emergency Medical CenterFukuyamaJapan
  4. 4.Department of RadiologyOkayama University Medical SchoolOkayamaJapan
  5. 5.Department of Orthopaedic SurgeryOkayama University Graduate School of Medicine, Dentistry, and Pharmaceutical SciencesOkayamaJapan