CT-Guided Iliosacral Screw Placement

Richard H. Daffner; Robert L. Sciulli

doi:10.1055/s-0033-1356470

Seminars in Musculoskeletal Radiology, Table of Contents

Semin Musculoskelet Radiol 2013; 17(04): 407-415
DOI: 10.1055/s-0033-1356470

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

CT-Guided Iliosacral Screw Placement

Richard H. Daffner

¹Department of Diagnostic Radiology, Allegheny General Hospital, Pittsburgh, Pennsylvania

,

Robert L. Sciulli

¹Department of Diagnostic Radiology, Allegheny General Hospital, Pittsburgh, Pennsylvania

› Author Affiliations

Abstract

Computed tomography (CT)–guided iliosacral screw placement for posttraumatic instability of that joint is a safe procedure that may be performed in a radiology department. CT guidance allows more accurate screw placement than traditional fluoroscopic imaging in the operating room. This article describes the technique for placing cannulated surgical screws percutaneously across the iliosacral joint in patients with unstable pelvic fractures using CT for guidance. We also discuss the pitfalls of the procedure and the complications.

Keywords

interventional radiology - CT-guided procedures - sacroiliac (iliosacral) joint injuries

Full Text

References

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