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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...
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| Published in: | European radiology 2020-02, Vol.30 (2), p.961-970 |
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| container_title | European radiology |
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| creator | Dekimpe, Chloé Andreani, Olivier De Dompsure, Regis Bernard Lemmex, Devin Byron Layet, Vivien Foti, Pauline Amoretti, Nicolas |
| description | 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. |
| doi_str_mv | 10.1007/s00330-019-06439-7 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2307154486</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2307154486</sourcerecordid><originalsourceid>FETCH-LOGICAL-c414t-8514e9662e1cf9ac8421cc1ffe9480ce2e51f064cd1e36be6a6faf7033fb8bc63</originalsourceid><addsrcrecordid>eNp9kT2P1DAQhi0E4paDP0CBLNFQYPDEzofpTiu-pJNojtpynHHWpyRebOfEVvx1vOQAiYJq5JnnfUeel5DnwN8A5-3bxLkQnHFQjDdSKNY-IDuQomLAO_mQ7LgSHWuVkhfkSUq3nHMFsn1MLgQ0VVdzuSM_9jdsXP2AA3X-u8k-LDQ4esTpzlvqorF5jZiocRkjPfjxwHDBOJ5ojmadzWvan6hfyvAOl7PaTDSawYcpjD7l9I5mtIfF29I3y0Dt5LdHWLMNMz4lj5yZEj67r5fk64f3N_tP7PrLx8_7q2tmJcjMuhokqqapEKxTxnayAmvBOVSy4xYrrMGVI9gBUDQ9NqZxxrXlPq7vetuIS_Jq8z3G8G3FlPXsk8VpMguGNelK8BZqKbsz-vIf9DassXzsTMlKQg1CFKraKBtDShGdPkY_m3jSwPU5Hr3Fo0s8-lc8ui2iF_fWaz_j8EfyO48CiA1IZbSMGP_u_o_tT1LlnOM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2342415133</pqid></control><display><type>article</type><title>CT-guided fixation of pelvic fractures after high-energy trauma, by interventional radiologists: technical and clinical outcome</title><source>Springer Link</source><creator>Dekimpe, Chloé ; Andreani, Olivier ; De Dompsure, Regis Bernard ; Lemmex, Devin Byron ; Layet, Vivien ; Foti, Pauline ; Amoretti, Nicolas</creator><creatorcontrib>Dekimpe, Chloé ; Andreani, Olivier ; De Dompsure, Regis Bernard ; Lemmex, Devin Byron ; Layet, Vivien ; Foti, Pauline ; Amoretti, Nicolas</creatorcontrib><description>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.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-019-06439-7</identifier><identifier>PMID: 31628504</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Acetabulum ; Anesthesia ; Clinical outcomes ; Complications ; Diagnostic Radiology ; Disjunction ; Energy ; Exposure ; Fixation ; Fluoroscopy ; Fractures ; Imaging ; Internal Medicine ; Interventional ; Interventional Radiology ; Medicine ; Medicine & Public Health ; Neuroradiology ; Pain ; Patients ; Placement ; Radiation ; Radiation effects ; Radiology ; Sacrum ; Safety ; Screws ; Trauma ; Ultrasound</subject><ispartof>European radiology, 2020-02, Vol.30 (2), p.961-970</ispartof><rights>European Society of Radiology 2019</rights><rights>European Radiology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-8514e9662e1cf9ac8421cc1ffe9480ce2e51f064cd1e36be6a6faf7033fb8bc63</citedby><cites>FETCH-LOGICAL-c414t-8514e9662e1cf9ac8421cc1ffe9480ce2e51f064cd1e36be6a6faf7033fb8bc63</cites><orcidid>0000-0002-8818-1007</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31628504$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dekimpe, Chloé</creatorcontrib><creatorcontrib>Andreani, Olivier</creatorcontrib><creatorcontrib>De Dompsure, Regis Bernard</creatorcontrib><creatorcontrib>Lemmex, Devin Byron</creatorcontrib><creatorcontrib>Layet, Vivien</creatorcontrib><creatorcontrib>Foti, Pauline</creatorcontrib><creatorcontrib>Amoretti, Nicolas</creatorcontrib><title>CT-guided fixation of pelvic fractures after high-energy trauma, by interventional radiologists: technical and clinical outcome</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>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.</description><subject>Acetabulum</subject><subject>Anesthesia</subject><subject>Clinical outcomes</subject><subject>Complications</subject><subject>Diagnostic Radiology</subject><subject>Disjunction</subject><subject>Energy</subject><subject>Exposure</subject><subject>Fixation</subject><subject>Fluoroscopy</subject><subject>Fractures</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional</subject><subject>Interventional Radiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroradiology</subject><subject>Pain</subject><subject>Patients</subject><subject>Placement</subject><subject>Radiation</subject><subject>Radiation effects</subject><subject>Radiology</subject><subject>Sacrum</subject><subject>Safety</subject><subject>Screws</subject><subject>Trauma</subject><subject>Ultrasound</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kT2P1DAQhi0E4paDP0CBLNFQYPDEzofpTiu-pJNojtpynHHWpyRebOfEVvx1vOQAiYJq5JnnfUeel5DnwN8A5-3bxLkQnHFQjDdSKNY-IDuQomLAO_mQ7LgSHWuVkhfkSUq3nHMFsn1MLgQ0VVdzuSM_9jdsXP2AA3X-u8k-LDQ4esTpzlvqorF5jZiocRkjPfjxwHDBOJ5ojmadzWvan6hfyvAOl7PaTDSawYcpjD7l9I5mtIfF29I3y0Dt5LdHWLMNMz4lj5yZEj67r5fk64f3N_tP7PrLx8_7q2tmJcjMuhokqqapEKxTxnayAmvBOVSy4xYrrMGVI9gBUDQ9NqZxxrXlPq7vetuIS_Jq8z3G8G3FlPXsk8VpMguGNelK8BZqKbsz-vIf9DassXzsTMlKQg1CFKraKBtDShGdPkY_m3jSwPU5Hr3Fo0s8-lc8ui2iF_fWaz_j8EfyO48CiA1IZbSMGP_u_o_tT1LlnOM</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Dekimpe, Chloé</creator><creator>Andreani, Olivier</creator><creator>De Dompsure, Regis Bernard</creator><creator>Lemmex, Devin Byron</creator><creator>Layet, Vivien</creator><creator>Foti, Pauline</creator><creator>Amoretti, Nicolas</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8818-1007</orcidid></search><sort><creationdate>20200201</creationdate><title>CT-guided fixation of pelvic fractures after high-energy trauma, by interventional radiologists: technical and clinical outcome</title><author>Dekimpe, Chloé ; Andreani, Olivier ; De Dompsure, Regis Bernard ; Lemmex, Devin Byron ; Layet, Vivien ; Foti, Pauline ; Amoretti, Nicolas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-8514e9662e1cf9ac8421cc1ffe9480ce2e51f064cd1e36be6a6faf7033fb8bc63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acetabulum</topic><topic>Anesthesia</topic><topic>Clinical outcomes</topic><topic>Complications</topic><topic>Diagnostic Radiology</topic><topic>Disjunction</topic><topic>Energy</topic><topic>Exposure</topic><topic>Fixation</topic><topic>Fluoroscopy</topic><topic>Fractures</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional</topic><topic>Interventional Radiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroradiology</topic><topic>Pain</topic><topic>Patients</topic><topic>Placement</topic><topic>Radiation</topic><topic>Radiation effects</topic><topic>Radiology</topic><topic>Sacrum</topic><topic>Safety</topic><topic>Screws</topic><topic>Trauma</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dekimpe, Chloé</creatorcontrib><creatorcontrib>Andreani, Olivier</creatorcontrib><creatorcontrib>De Dompsure, Regis Bernard</creatorcontrib><creatorcontrib>Lemmex, Devin Byron</creatorcontrib><creatorcontrib>Layet, Vivien</creatorcontrib><creatorcontrib>Foti, Pauline</creatorcontrib><creatorcontrib>Amoretti, Nicolas</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>ProQuest Health & 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Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dekimpe, Chloé</au><au>Andreani, Olivier</au><au>De Dompsure, Regis Bernard</au><au>Lemmex, Devin Byron</au><au>Layet, Vivien</au><au>Foti, Pauline</au><au>Amoretti, Nicolas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CT-guided fixation of pelvic fractures after high-energy trauma, by interventional radiologists: technical and clinical outcome</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>30</volume><issue>2</issue><spage>961</spage><epage>970</epage><pages>961-970</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Undefined-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31628504</pmid><doi>10.1007/s00330-019-06439-7</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-8818-1007</orcidid></addata></record> |
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| ispartof | European radiology, 2020-02, Vol.30 (2), p.961-970 |
| issn | 0938-7994 1432-1084 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2307154486 |
| source | Springer Link |
| subjects | Acetabulum Anesthesia Clinical outcomes Complications Diagnostic Radiology Disjunction Energy Exposure Fixation Fluoroscopy Fractures Imaging Internal Medicine Interventional Interventional Radiology Medicine Medicine & Public Health Neuroradiology Pain Patients Placement Radiation Radiation effects Radiology Sacrum Safety Screws Trauma Ultrasound |
| title | CT-guided fixation of pelvic fractures after high-energy trauma, by interventional radiologists: technical and clinical outcome |
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