Evidence map›Paper›PMID 39068618›Full record

SynthesisArchives of orthopaedic and trauma surgery2024

Navigation and 3D-imaging in pelvic ring surgery: a systematic review of prospective comparative studies.

Mehdi Boudissa, Georges Khoury, Jochen Franke, Axel Gänsslen, Jérôme Tonetti

Abstract readSystematic ReviewComparative Study
PubMed Publisher
In one paragraph

Synthesis in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Evaluation of preoperative screw planning and X-ray simulation for iliosacral and transsacral screw placement.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  4. Accuracy of 3D-navigated screw fixation in pelvic ring fractures: a single-centre consecutive observational case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Observational
  5. Article
  6. Accuracy of sacroiliac screw placement using O-arm and 3D navigation: a case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. 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

5 authors.

Mehdi BoudissaDepartment of Orthopaedic and Trauma Surgery, Grenoble University Hospital, University Grenoble Alpes, La Tronche, Grenoble, 38700, France. mboudissa@chu-grenoble.fr.ORCID http://orcid.org/0000-0002-1651-9566
Georges KhouryDepartment of Orthopaedic and Trauma Surgery, Grenoble University Hospital, University Grenoble Alpes, La Tronche, Grenoble, 38700, France.
Jochen FrankeBG Trauma Center Ludwigshafen at Ruprecht-Karls-Universistät Heidelberg, Ludwig- Guttmann-Street. 13, 67071, Ludwigshafen, Germany.
Axel GänsslenDepartment of Trauma, Orthopedics and Hand Surgery, Wolfsburg Hospital, Wolfsburg, Germany.
Jérôme TonettiDepartment of Orthopaedic and Trauma Surgery, Grenoble University Hospital, University Grenoble Alpes, La Tronche, Grenoble, 38700, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew literature reviews have been published focusing on navigation, robotic or pre-operative planning using 3D-imaging technology (3D-printing, 3D-planning). To our knowledge, no reviews have been performed to assess and compare all these modalities together versus control groups (conventional fluoroscopy) through high Randomized Control Trials (RCTs) and Prospective Control Studies (PCSs). The aim of this study was to assess and compare 3D-imaging technologies from pre-operative planning to per-operative navigation and robotic in the management of pelvic ring fractures through high level studies.

methodsA literature search was performed using PubMed, the Cochrane library and Google scholar using keywords up to December 2023. Only prospective comparative studies (RCT and PCS) were included. A total of 341 articles were identified, 39 articles were selected for full-text analysis leaving 7 articles included in this literature systematic review.

resultsA trend towards improved precision in screw placement and reduction of radiation exposure without consequences in term of functional outcomes have been identified. No conclusions can be extrapolated regarding operative time and blood loss except for robotic which improve these parameters because robotic arm assistance help surgeons to correctly follow the planning based on 2D-fluoroscopy. Surgery duration and radiation dose are significantly reduced with robotic-arm assistance for the same reasons. With navigation the results have to be nuanced according to the experience of the surgical team. Interest of navigation is emphasized in sacral dysmorphism in comparison with conventional fluoroscopy. This highlights the benefits of navigation for ilio-sacral screw placement in difficult cases and less experimented teams.

conclusionHigh level studies which assess and compare 3D-imaging technologies from pre-operative planning to per-operative navigation and robotic in the management of pelvic ring fractures are low. To date and according to the present high level literature, navigation and 3D-technologies in pelvic ring surgery should be recommended for difficult cases. LEVEL OF EVIDENCE, II: Systematic review of Level II studies.

Indexed as

Fractures, BoneImaging, Three-DimensionalPelvic BonesRobotic Surgical ProceduresFluoroscopyFracture Fixation, InternalHumansProspective StudiesSurgery, Computer-Assisted3D-imagingNavigationPelvic ring surgeryProspective comparative studiesReviewRobotic

Identifiers

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Registered trials

None linked

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.