Comparison of 3D C-arm fluoroscopy and 3D image-guided navigation for minimally invasive pelvic surgery

International Journal of Computer Assisted Radiology and Surgery
Bin LiQinghu Li

Abstract

This study aims to compare the efficacy and accuracy of percutaneous screw fixation using three-dimensional [Formula: see text] navigation and conventional C-arm fluoroscopy in pelvic fracture surgery. This was a retrospective study of 81 patients with pelvic fractures treated using percutaneous screw fixation between June 2005 and January 2011. All pelvic fractures were treated with closed reduction, small open reduction, or medium open reduction. Intraoperative radiation exposure, fixation, surgical outcome, and functional recovery were compared based on the fluoroscopy navigation method used during screw fixation. Radiographic follow-up was assessed at 1, 3, 6, and 9 months postoperatively, and a CT scan was completed at 9 months postoperatively. A total of 130 cannulated screws were placed. Average screw fixation time and fluoroscopy exposure time in [Formula: see text] group were lower than the C-arm fluoroscopy group ([Formula: see text] vs [Formula: see text]) [Formula: see text]. Seventy-four of the 81 patients made a full recovery. Successful outcome was confirmed with radiological imaging and postoperative follow-up at 6-24 months. No delayed union or nonunion was detected. No significant difference in functional reco...Continue Reading

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Citations

Sep 20, 2017·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Chengdi ShiJunying Sun
May 8, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Anil Murat OzturkKemal Aktuglu
Jul 2, 2020·World Journal of Clinical Cases·Tong YuJian-Wu Zhao
Nov 11, 2017·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Jun TakebaMayuki Aibiki
Jul 6, 2021·Clinical Spine Surgery : a Spine Publication·Horst Balling

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