CT-guided fixation of pelvic fractures after high-energy trauma, by interventional radiologists: technical and clinical outcome.
Objective: The aim of our study was to evaluate screw placement accuracy, safety, complications, and clinical outcomes including functional and pain score, in 32 patients treated with CT-guided pelvic ring fixation after high-energy trauma.Materials and Methods: Consecutive patients who were treated...
| Publicado en: | European Radiology Vol. 30; no. 2; pp. 961 - 971 |
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| Autores principales: | , , , , , , |
| Formato: | diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141192331&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141192331 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Feb2020 vid: 30 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 141192331 141192331 NLM31628504 141192331 10.1007/s00330-019-06439-7 NLM31628504 141192331 ppf: 961 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: CT-guided fixation of pelvic fractures after high-energy trauma, by interventional radiologists: technical and clinical outcome. aug: au: Dekimpe, Chloé Andreani, Olivier De Dompsure, Regis Bernard Lemmex, Devin Byron Layet, Vivien Foti, Pauline Amoretti, Nicolas affil: Diagnostic and Interventional Radiology Unit, Centre Hospitalier Universitaire de Nice, Hôpital Pasteur 2, 30 Voie Romaine, 06001, Nice, France sug: subj: Fracture Fixation Methods Fractures Surgery Pelvic Bones Injuries Radiography, Interventional Methods Fractures Etiology Acetabulum Injuries Tomography, X-Ray Computed Methods Aged, 80 and Over Adolescence Pelvic Bones Sacrum Injuries Fractures Retrospective Design Middle Age Fluoroscopy Pelvic Bones Surgery Treatment Outcomes Adult Young Adult Sacrum Surgery Female Sacrum Male Aged Acetabulum Acetabulum Surgery Bone Screws Human Aged, 80 & over Adolescent: 13-18 years Middle Aged: 45-64 years Adult: 19-44 years Aged: 65+ years Female Male ab: Objective: The aim of our study was to evaluate screw placement accuracy, safety, complications, and clinical outcomes including functional and pain score, in 32 patients treated with CT-guided pelvic ring fixation after high-energy trauma.Materials and Methods: Consecutive patients who were treated by CT-guided fixation of sacral or acetabular fractures after high-energy trauma were included. All procedures were performed under general anesthesia, with dual CT and fluoroscopic guidance, by interventional radiologists. Fractures were minimally displaced or reduced unstable posterior pelvic ring disruptions, with or without sacroiliac disjunction (Tile B or C) and minimally displaced acetabular fractures. The primary outcome evaluated was screw accuracy. Secondary outcomes included patient radiation exposure, duration of the procedure, complications, clinical functional score (Majeed score), and pain scale (VAS, visual analog scale) evaluation during a follow-up period from 4 to 30 months postoperatively.Results: Thirty-two patients were included (mean age 46) and 62 screws were inserted. Screw placement was correct in 90.3% of patients (95% of screws). Mean procedure duration was 67 min and mean patient radiation exposure was 965 mGy cm. Mean follow-up was 13 months and no complications were observed. The mean Majeed score at final follow-up was 84/100 and the mean VAS was 1.6/10.Conclusion: This technique is an effective and safe procedure in specific cases of pelvic ring and acetabulum fractures. It allows accurate screw placement in a minimally invasive manner, leading to effective management of poly-traumatized patients.Key Points: • CT-guided pelvic ring fixation, including sacroiliac and acetabular fractures, is an effective and safe procedure. • It allows accurate and minimally invasive screw placement, leading to effective management of poly-traumatized patients. • Multidisciplinary cooperation is essential to ensure efficiency and safety. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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