ArticleScientific reports2022
Percutaneous iliosacral screw and trans-iliac trans-sacral screw with single C-arm fluoroscope intensifier is a safe treatment for pelvic ring injuries.
Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Iatrogenic nerve injury following pelvic ring injury: a network meta-analysis.International journal of surgery (London, England) · 2025Pooled it
- Complications of conventional percutaneous sacroiliac screw fixation of traumatic pelvic ring injuries: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Pooled it
- Imaging of pelvic ring fractures in older adults and its clinical implications-a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023Pooled it
- Clinical Outcomes of Sacral Alar-Iliac Screw Fixation for Pelvic Ring Fractures: A Retrospective Case Series.Cureus · 2026Article
- Evaluation of preoperative screw planning and X-ray simulation for iliosacral and transsacral screw placement.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Probabilistic Safe Zone Mapping for S1 Screw Placement Using 1000 Lumbosacral CT Scans: A Study Protocol for a Bilateral, Two-Rater, Multi-Offset Anatomical Modeling Study.Journal of clinical medicine · 2026Article
- Clinical application study of E3D-assisted design combined with personalized 3D printed guide system in the treatment of pelvic fractures.Frontiers in surgery · 2026Article
- Efficacy and safety of conventional biplanar and triangulation method for sacroiliac screw placement in the treatment of unstable posterior pelvic ring fractures: A real-world retrospective cohort study.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- Ramadanov-Zabler Safe Zone for Sacroiliac Screw Placement: A CT-Based Computational Pilot Study.Journal of clinical medicine · 2025Article
- Association between sacroiliac joint reduction quality and acetabular fracture alignment: a comparative study of the lateral window and pararectus approaches.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Iliosacral screw osteosynthesis - state of the art.Archives of orthopaedic and trauma surgery · 2025Review
- Chronic pelvic insufficiency fractures and their treatment.Archives of orthopaedic and trauma surgery · 2024Review
- Modified screw-rod fixation for management of posterior pelvic ring fractures: a retrospective study.BMC surgery · 2024Article
- Critical distance of the sacroiliac joint for open reduction using screw fixation for traumatic sacroiliac joint diastasis: a retrospective study.Journal of orthopaedic surgery and research · 2024Article
- Higher pelvic incidence values are a risk factor for trans-iliac trans-sacral screw malposition in sacroiliac complex fracture treatment.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023Article
- Simultaneous reduction and fixation of concomitant acetabular fracture and ipsilateral sacroiliac joint injury through the pararectus approach: a technical report and early radiological outcome.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- A novel biplanar positioning technique to guide iliosacral screw insertion: a retrospective study.BMC musculoskeletal disorders · 2023Article
- The morphology of the sacral corridor for transiliac transsacral screw in Japanese osteoporotic vertebral fracture patients: Analysis using CT data.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To elucidate the accuracy, efficacy, and safety of percutaneous iliosacral screw (ISS) and trans-iliac trans-sacral screw (TITS) insertion using a single C-arm fluoroscopy intensifier. Additionally, the potential risk factors that might cause mal-positioned screws were identified. Patients with pelvic ring injuries who underwent percutaneous screw fixation in a single medical institute were divided into an ISS group (n = 59) and a TITS group (n = 62) and assessed. The angles deviated from ideal orientation (ADIO) of the implanted screw were measured, and potential risk factors for mal-positioned screws were analyzed. Overall, the reduction quality of the pelvic ring was good or excellent in 70 patients (82.4%) by Matta's criteria and in 48 patients (56.5%) by Lefaivre's criteria. ADIO measurements of the ISS and TITS groups via multi-planar computed tomography were 9.16° ± 6.97° and 3.09° ± 2.8° in the axial view, respectively, and 5.92° ± 3.65° and 2.10° ± 2.01° in the coronal view, respectively. Univariate statistical analysis revealed body mass index as the single potential risk factor of mal-positioned screws. With careful preoperative planning and intraoperative preparations, placing ISS and TITS under the guidance of single C-arm fluoroscopy intensifier is a reliable and safe technique. Caution should be exercised when performing this procedure in patients with a high body mass index.
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