Percutaneous sacroiliac screw technique

John Tidwell, Rosa Cho, John Reid, Henry Boateng, Carol Copeland, Edward Sirlin

Research output: Contribution to journalShort survey

1 Citation (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)S19-S20
JournalJournal of Orthopaedic Trauma
Volume30
DOIs
StatePublished - Jan 1 2016

Fingerprint

Mandrillus
Fluoroscopy
Patient Positioning
Fracture Fixation
Patient Safety
Anatomy
Swine

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Tidwell, John ; Cho, Rosa ; Reid, John ; Boateng, Henry ; Copeland, Carol ; Sirlin, Edward. / Percutaneous sacroiliac screw technique. In: Journal of Orthopaedic Trauma. 2016 ; Vol. 30. pp. S19-S20.
@article{fdc94259a1e24d9e9243c70c7ccd3103,
title = "Percutaneous sacroiliac screw technique",
abstract = "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.",
author = "John Tidwell and Rosa Cho and John Reid and Henry Boateng and Carol Copeland and Edward Sirlin",
year = "2016",
month = "1",
day = "1",
doi = "10.1097/BOT.0000000000000606",
language = "English (US)",
volume = "30",
pages = "S19--S20",
journal = "Journal of Orthopaedic Trauma",
issn = "0890-5339",
publisher = "Lippincott Williams and Wilkins",

}

Percutaneous sacroiliac screw technique. / Tidwell, John; Cho, Rosa; Reid, John; Boateng, Henry; Copeland, Carol; Sirlin, Edward.

In: Journal of Orthopaedic Trauma, Vol. 30, 01.01.2016, p. S19-S20.

Research output: Contribution to journalShort survey

TY - JOUR

T1 - Percutaneous sacroiliac screw technique

AU - Tidwell, John

AU - Cho, Rosa

AU - Reid, John

AU - Boateng, Henry

AU - Copeland, Carol

AU - Sirlin, Edward

PY - 2016/1/1

Y1 - 2016/1/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84979736764&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84979736764&partnerID=8YFLogxK

U2 - 10.1097/BOT.0000000000000606

DO - 10.1097/BOT.0000000000000606

M3 - Short survey

C2 - 27441927

AN - SCOPUS:84979736764

VL - 30

SP - S19-S20

JO - Journal of Orthopaedic Trauma

JF - Journal of Orthopaedic Trauma

SN - 0890-5339

ER -