Evidence map›Paper›PMID 35329792›Full record

ArticleJournal of clinical medicine2022

Differences in Accuracy and Radiation Dose in Placement of Iliosacral Screws: Comparison between 3D and 2D Fluoroscopy.

Michał Kułakowski, Paweł Reichert, Karol Elster, Jarosław Witkowski, Paweł Ślęczka, Piotr Morasiewicz, Łukasz Oleksy, Aleksandra Królikowska

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
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  7. Article
  8. Article
  9. Article
  10. Article
  11. Navigation versus fluoroscopy in minimalinvasive iliosacral screw placement.Journal of orthopaedic surgery and research · 2024
    Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Michał KułakowskiIndependent Public Healthcare Centre, 87-500 Rypin, Poland.
Paweł ReichertClinical Department of Trauma and Hand Surgery, Department of Trauma Surgery, Faculty of Medicine, Wroclaw Medical University, 50-556 Wrocław, Poland.ORCID 0000-0002-0271-4950
Karol ElsterIndependent Public Healthcare Centre, 87-500 Rypin, Poland.
Jarosław WitkowskiClinical Department of Trauma and Hand Surgery, Division of Sports Medicine, Department of Trauma Surgery, Faculty of Medicine, Wroclaw Medical University, 50-556 Wrocław, Poland.
Paweł ŚlęczkaIndependent Public Healthcare Centre, 32-400 Myślenice, Poland.ORCID 0000-0002-0440-688X
Piotr MorasiewiczDepartment of Orthopaedic and Trauma Surgery, University Hospital in Opole, Institute of Medical Sciences, University of Opole, 45-401 Opole, Poland.ORCID 0000-0002-7587-666X
Łukasz OleksyOrthopaedic and Rehabilitation Department, Medical Faculty, Medical University of Warsaw, 02-091 Warsaw, Poland.ORCID 0000-0002-0589-0554
Aleksandra KrólikowskaErgonomics and Biomedical Monitoring Laboratory, Department of Physiotherapy, Faculty of Health Sciences, Wroclaw Medical University, 50-367 Wrocław, Poland.ORCID 0000-0002-6283-5500

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Percutaneous iliosacral screw fixation is a widely accepted method of stabilizing the posterior pelvic ring. Recently developed tools such as 3D-navigated fluoroscopy and computed navigation seem to prevent a surgeon from conducting screw misplacement. The study aimed to comparatively assess the introduction of sacroiliac screw placement using 2D and 3D fluoroscopy in terms of accuracy and radiation exposure. Iliosacral screws were introduced in 37 patients using 2D (group N1) and in 36 patients using 3D fluoroscopy (group N2) techniques. Overall, 61 and 56 screws were introduced in groups N1 and N2, respectively. Screw placement accuracy was assessed using postoperative computed tomography and Smith's scale. Intraoperative radiation exposure was also assessed. No differences were noted between groups in terms of screw positioning accuracy and radiation dose. Both 2D and 3D fluoroscopy provide good visualization for safely placing percutaneous iliosacral joint screws. Using 3D fluoroscopy-based navigation in comparison with 2D fluoroscopy is not advantageous.

Indexed as

2D fluoroscopy3D fluoroscopyiliosacral screwpelvic ring injuriespercutaneous fixation

Identifiers

PMID35329792
PMCPMC8953839

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.