Document Detail


Clinical results of percutaneous pelvic surgery. Computer assisted surgery using ultrasound compared to standard fluoroscopy.
MedLine Citation:
PMID:  11835615     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study presents early results of clinical experience with the application of Computer Assisted Surgery (CAS) to percutaneous iliosacral screwing, with comparison to a historical series of patients treated using percutaneous fluoroscopy. Four patients were instrumented using a CAS system, with 10 screws being inserted. Thirty patients were treated by percutaneous fluoroscopic screwing, with 51 screws being inserted. The follow-up assessment included the following criteria; operative time, parameters of radiation exposure, neurological examination, screw placement evaluation on CT-scan, antalgic drug consumption, pain, Majeed grading, and loosening of implants. In the CAS group, the average radiation time was 0.35 min per patient and 0.14 min per screw. No trajectories outside the bone and no postoperative neurological deficits were found. In the fluoroscopic group, the average radiation time was 1.03 min per patient and 0.6 min per screw. Twelve screws had outside-bone trajectories, and iatrogenic neurological deficits were found in seven patients. The average operative time was 50 min in the CAS group and 35 min in the fluoroscopic group. The present CAS technique shows better placement of iliosacral screws, with no outside-bone trajectories and lower radiation exposure.
Authors:
J Tonetti; L Carrat; S Blendea; P Merloz; J Troccaz; S Lavallée; J P Chirossel
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Computer aided surgery : official journal of the International Society for Computer Aided Surgery     Volume:  6     ISSN:  1092-9088     ISO Abbreviation:  Comput. Aided Surg.     Publication Date:  2001  
Date Detail:
Created Date:  2002-02-08     Completed Date:  2002-03-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9708375     Medline TA:  Comput Aided Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  204-11     Citation Subset:  IM    
Copyright Information:
Copyright 2001 Wiley-Liss, Inc.
Affiliation:
Orthopaedy and Trauma Department, Joseph Fourier University of Grenoble, Grenoble, France. jerome.tonetti@imag.fr
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MeSH Terms
Descriptor/Qualifier:
Adult
Bone Screws*
Female
Fluoroscopy
Humans
Male
Middle Aged
Pelvic Bones / surgery*,  ultrasonography
Surgery, Computer-Assisted*
Time Factors
Ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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