Percutaneous Sacroiliac Screw Technique. (August 2016)

• Record Type: Journal Article
• Authors: Tidwell, John; Cho, Rosa; Reid, J. Spence; Boateng, Henry; Copeland, Carol; Sirlin, Edward
• Is Part Of: Journal of orthopaedic trauma. Volume 30(2016)Supplement 2
• Publication Date: 2016-08
• Subjects: sacroiliac screw fixation -- posterior pelvic ring injury -- percutaneous pelvic fixation -- iliosacral screw fixation -- surgical technique; Orthopedics -- Periodicals; Wounds and injuries -- Periodicals; Orthopedics -- Periodicals; Wounds and Injuries -- therapy -- Periodicals; Periodicals; 617.47044
• DOI: 10.1097/BOT.0000000000000606
• Languages: English
• ISSNs: 0890-5339

Abstract

Abstract : Summary: Remembering that preoperative planning, surgical indications, and fracture reduction are paramount for this procedure, presented here is our technique for performing percutaneous sacroiliac screws, both transiliac-transsacral and sacral style. A combination of video, still pictures, and fluoroscopy images will guide the viewer through the process we routinely use highlighting specific details. Patient positioning and intraoperative fluoroscopy imaging are critical to a successful procedure. Although inlet and outlet films remain important, we find the procedure best started on the lateral sacral view to reduce the need for start site, trajectory, and imaging position changes during the case. A cannulated pig sticker (drill guide) used with long drill tip guide wires provide improved manual control to both finding a good start site and directing the trajectory. For patient safety, sacral anatomy and safe zones are discussed as well. Using these technical points will help make this a successful procedure.