Die navigierte Verschraubung des Iliosakralgelenkes nach traumatischer Dislokation

Autor:	H. Meinig, N. Wagner, K. Asmus, N. Haberland, B. Böhm
Rok vydání:	2006
Předmět:	musculoskeletal diseases Sacroiliac joint medicine.medical_specialty Osteosynthesis Percutaneous Symphysis business.industry musculoskeletal system Iliac crest Surgery medicine.anatomical_structure medicine Intraoperative ct Iliac spine business Posterior superior iliac spine
Zdroj:	Aktuelle Traumatologie. 36:86-90
ISSN:	1438-9436 0044-6173
DOI:	10.1055/s-2006-923912
Popis:	Introduction: The computer assisted technique procedure of sacroiliac screw placement is introduced with the help of four cases having traumatic injury of the sacroiliac joint. The forth case was performed with percutaneous navigation. Therefore we developed a special kind of technique for percutaneous registration. Materials and Methods: We implanted 5 Leibinger screws near the posterior superior iliac spine for the nonpercutan registration. The intraoperative CT data acquisition was performed with a 3 mm slice thickness, 2 mm reconstruction index and 1 pitch. The dynamic reference base was fixed at the iliac crest. Results: In all four cases the screws could be placed easily, the postoperative CT showed a good placement of the screws. In one case we got an early wound infection at sacroiliac joint, another case got a wound infection at the symphysis after osteosynthesis. We reached an acceptable degree of accuracy in all four cases. Conclusion: The screw placement can be performed much more easily and saver because of the image guided technique, the risk of neurological damage is reduced to a minimum. We think that especially the percutaneous navigation is useful for the screw implantation of the sacroiliac joint.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::08fb156cb4b63153af4ed1429d1b6fda https://doi.org/10.1055/s-2006-923912 Zobrazit plný text záznamu