Image guidance in pelvic and acetabular surgery--expectations, success and limitations.

During the last decade navigation techniques in pelvic and acetabular surgery have been described. Nowadays, available techniques include CT-based navigation, 2D C-arm navigation and 3D C-arm navigation. The main indication is the navigated percutaneous SI screw fixation, but acetabular screw fixations are also reported. In this article, based upon a literature review and our own clinical experiences, the indications for and limitations of navigated techniques in pelvic and acetabular surgery are described.

[1]  U. Stöckle,et al.  Evaluation der Bildqualität des Iso-C3D-Bildwandlers im Vergleich mit dem CT , 2004, Der Unfallchirurg.

[2]  U. Stöckle,et al.  Navigationsverfahren in der Becken- und Azetabulumchirurgie , 2002, Der Unfallchirurg.

[3]  Florian Gebhard,et al.  Computer-Guidance in Percutaneous Screw Stabilization of the Iliosacral Joint , 2004, Clinical orthopaedics and related research.

[4]  P. Parker,et al.  Percutaneous fluoroscopic screw fixation of acetabular fractures. , 1997, Injury.

[5]  R Bächler,et al.  Accuracy of Computer-Guided Screw Fixation of the Sacroiliac Joint , 2001, Clinical orthopaedics and related research.

[6]  Ulrich Stöckle,et al.  Genauigkeit der CT-basierten Navigation von Pedikelschrauben an der Brustwirbelsäule im Vergleich zur konventionellen Technik , 2004, Der Unfallchirurg.

[7]  H. Goitz,et al.  Percutaneous screw fixation of acetabular fractures with CT guidance: preliminary results of a new technique. , 1992, AJR. American journal of roentgenology.

[8]  W. Steinbrich,et al.  Posterior pelvic ring fractures: Closed reduction and percutaneous CT-guided sacroiliac screw fixation , 1997, CardioVascular and Interventional Radiology.

[9]  Philip J. Kregor,et al.  Early Results of Percutaneous Iliosacral Screws Placed with the Patient in the Supine Position , 1995, Journal of orthopaedic trauma.

[10]  L P Nolte,et al.  Fluoroscopy as an imaging means for computer-assisted surgical navigation. , 1999, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[11]  N. Schep,et al.  Computer-assisted versus conventional surgery for insertion of 96 cannulated iliosacral screws in patients with postpartum pelvic pain. , 2004, The Journal of trauma.

[12]  J. Windolf,et al.  Computerassistierte Verschraubung des hinteren Beckenrings , 2006, Der Unfallchirurg.

[13]  L. P. Nolte,et al.  Bildwandler-gestützte Navigation Eine experimentelle Studie zu Beckenverschraubungen , 2001, Der Unfallchirurg.

[14]  A. Jones,et al.  Percutaneous fixation of the columns of the acetabulum: a new technique. , 1998, Journal of orthopaedic trauma.

[15]  P. Simonian,et al.  Closed reduction and percutaneous skeletal fixation of sacral fractures. , 1996, Clinical orthopaedics and related research.

[16]  Paul Tornetta,et al.  Standard Multiplanar Fluoroscopy Versus a Fluoroscopically Based Navigation System for the Percutaneous Insertion of Iliosacral Screws: A Cadaver Model , 2005, Journal of orthopaedic trauma.

[17]  A. Peitzman,et al.  Percutaneous iliosacral screw fixation: early treatment for unstable posterior pelvic ring disruptions. , 1993, The Journal of trauma.

[18]  L Kinzl,et al.  [Radiation dosage in orthopedics -- a comparison of computer-assisted procedures]. , 2003, Der Unfallchirurg.

[19]  N. Ebraheim,et al.  Percutaneous Computed Tomography‐Guided Stabilization of Posterior Pelvic Fractures , 1994, Clinical orthopaedics and related research.

[20]  A. Jacob,et al.  Surgical navigation based on fluoroscopy--clinical application for computer-assisted distal locking of intramedullary implants. , 2000, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[21]  F. Gebhard,et al.  Navigationsgestützte Arthrodese des Iliosakralgelenks , 2005, Der Unfallchirurg.

[22]  A Hamadeh,et al.  Automated 3-dimensional computed tomographic and fluoroscopic image registration. , 1998, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[23]  C Krettek,et al.  [Computer-assisted surgery for pelvic injuries]. , 2004, Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen.

[24]  Michael Kraus,et al.  Strahlendosis im OP – ein Vergleich computerassistierter Verfahren , 2003, Der Unfallchirurg.

[25]  J. Matta,et al.  Internal fixation of pelvic ring fractures. , 1989, Clinical orthopaedics and related research.

[26]  Christian Krettek,et al.  Clinical applications--pelvis. , 2004, Injury.

[27]  U. Stöckle,et al.  Klinische Erfahrungen mit dem Siremobil Iso-C3D-Bildwandler in der Beckenchirurgie , 2005, Der Unfallchirurg.

[28]  J Troccaz,et al.  Clinical results of percutaneous pelvic surgery. Computer assisted surgery using ultrasound compared to standard fluoroscopy. , 2001, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.