Treating Sacroiliac Joint Dislocation Through Percutaneous Sacroiliac Screw Fixation with the Aid of 2 ﬂuoroscopes: a Novel Technique

Overview

Journal Quant Imaging Med Surg

Specialty Radiology

Date 2021 May 3

PMID 33936988

Citations 2

Authors

Chuangang Peng

Baoming Yuan

Jincheng Wang

He Liu

Dongsheng Wang

Affiliations

Soon will be listed here.

Abstract

Background: Percutaneous sacroiliac screw fixation is the standard treatment for sacroiliac joint (SIJ) dislocation. In most hospitals, the procedure is guided by a C-arm X-ray fluoroscopy system, which must be repeatedly repositioned during surgery. In this study, we investigated the feasibility of using 2 fluoroscopes simultaneously.

Methods: A total of 28 consecutive patients with SIJ dislocation were included in this study. The patients were randomly allocated to groups and underwent percutaneous sacroiliac screw fixation using either 1 or 2 fluoroscopes. Total radiation exposure frequency, radiation dose, and operation time were recorded and compared. Dislocation reduction quality was assessed using the Tornetta and Matta standard, and the Majeed functional score was used to evaluate clinical, imaging, and social function following pelvic injury. Complications were also recorded.

Results: The results showed that the radiation exposure frequency was signiﬁcantly less with 2 ﬂuoroscopes than with a single ﬂuoroscope (21.5±8.6 and 42.6±18.3 times, respectively; P<0.001). However, the radiation dose (156.3±67.2 mGy for 1 fluoroscope and 157.8±38.2 mGy for 2 fluoroscopes; P>0.05) between the 2 groups was not significantly different. The total operation time was also signiﬁcantly shorter with 2 ﬂuoroscopic devices than with a single device (35.8±12.9 and 65.5±19.7 minutes, respectively; P<0.001). The dislocation reduction quality and Majeed functional score (92.3% and 86.7% for 1 fluoroscope, 93.3% and 84.6% for 2 fluoroscopes, respectively; P>0.05) did not differ significantly between the 2 groups at the final follow-up. Complications, such as pain, superﬁcial infection, restricted squatting, limp, and screw failure, were rarely recorded in either group.

Conclusions: The simultaneous application of 2 ﬂuoroscopes is highly appropriate during percutaneous sacroiliac screw fixation to treat SIJ dislocation, and can significantly reduce radiation exposure frequency and operation time.

Citing Articles

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Effect of medical choice and health behavior on the health status for patients with subluxation of the sacroiliac joint.

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