Semin Musculoskelet Radiol 2013; 17(04): 407-415
DOI: 10.1055/s-0033-1356470
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

CT-Guided Iliosacral Screw Placement

Richard H. Daffner
1   Department of Diagnostic Radiology, Allegheny General Hospital, Pittsburgh, Pennsylvania
,
Robert L. Sciulli
1   Department of Diagnostic Radiology, Allegheny General Hospital, Pittsburgh, Pennsylvania
› Author Affiliations
Further Information

Publication History

Publication Date:
07 October 2013 (online)

Preview

Abstract

Computed tomography (CT)–guided iliosacral screw placement for posttraumatic instability of that joint is a safe procedure that may be performed in a radiology department. CT guidance allows more accurate screw placement than traditional fluoroscopic imaging in the operating room. This article describes the technique for placing cannulated surgical screws percutaneously across the iliosacral joint in patients with unstable pelvic fractures using CT for guidance. We also discuss the pitfalls of the procedure and the complications.