Evidence map›Paper›PMID 35527531›Full record

ArticleAsian spine journal2023

A Computed Tomography-Based Assessment of the Anatomical Parameters Concerning S2-Alar Iliac Screw Insertion Using "Safe Trajectory Method" in Indian Population.

Rahul Kaul, Bharat Goswami, Khemendra Kumar, Madhan Jeyaraman, Gururaj Sangondimath, H S Chhabra

Abstract read
In one paragraph

Article in Asian spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

3 citing papers in PubMed.

  1. Anterior inferior iliac spine as an anatomical reference for S2-alar-iliac screw placement: a three-dimensional computed tomography-based study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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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

6 authors.

Rahul KaulDepartment of Orthopaedics, School of Medical Sciences and Research, Sharda University, Greater Noida, India.
Bharat GoswamiDepartment of Orthopaedics, School of Medical Sciences and Research, Sharda University, Greater Noida, India.
Khemendra KumarDepartment of Radio Diagnosis, School of Medical Sciences and Research, Sharda University, Greater Noida, India.
Madhan JeyaramanDepartment of Orthopaedics, School of Medical Sciences and Research, Sharda University, Greater Noida, India.
Gururaj SangondimathDepartment of Spine Services, Indian Spinal Injuries Centre, New Delhi, India.
H S ChhabraDepartment of Spine Services, Indian Spinal Injuries Centre, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA retrospective computed tomography (CT)-based radiological analysis. PURPOSE: To obtain CT-based morphometric data for the S2 alar iliac (S2AI) screw in the Indian population presenting to School of Medical Sciences and Research, Greater Noida, we used the concept of "safe trajectory" by Pontes and his colleagues in a recent study. OVERVIEW OF LITERATURE: Although previous CT-based morphometric studies on the S2AI screw have been published for a variety of ethnic groups, morphometric data specifically for the Indian population are scarce.

methodsWe used the three-dimensional multiplanar reformatting software to conduct a retrospective CT analysis of 112 consecutive patients who met our exclusion criteria for various abdominal and pelvic pathologies. CT imaging planes were rotated between the S1 and S2 foramen until they matched the ideal S2AI screw trajectory, which was represented by the longest and widest iliac osseous channel observed in the axial CT section. Following the concept of a safe trajectory, S2AI screw morphometric parameters were measured on both sides of the pelvis using corresponding axial and sagittal CT images.

resultsIn the sagittal and transverse planes on both sides of the pelvis, females had significantly higher screw trajectory angulation than males (p<0.001). On both sides of the pelvis, males had significantly greater iliac width, maximum screw trajectory length, and intrascrotal length than females (p<0.001). On both sides of the pelvis, the S2AI screw entry point in females was significantly deeper than in males from the skin margin (p<0.001).

conclusionsBased on our methodology, we discovered that the S2AI screw trajectory is significantly more caudal and lateral in females, the maximum screw length is sufficient for use in clinical practice regardless of gender, and that 8.5 mm or even larger screw diameters are feasible in the majority of the Indian population.

Indexed as

Computed tomography CopyrightIndian populationS2 alar iliac screwSafe trajectory

Identifiers

PMID35527531
PMCPMC9977994

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