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Journal of Bone and Joint Surgery - British Volume, Vol 85-B, Issue 3, 411-418.
doi: 10.1302/0301-620X.85B3.13119  
Copyright © 2003 by British Editorial Society of Bone and Joint Surgery
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Iliosacral screw fixation of the posterior pelvic ring using local anaesthesia and computerised tomography

B. H. Ziran, MD, Assistant Professor1; W. R. Smith, MD, Assistant Professor2; J. Towers, MD, Assistant Professor3; and S. J. Morgan, MD, Assistant Professor2

1 Department of Orthopaedic Surgery
2 Department of Orthopaedic Surgery, University of Colorado Health Sciences Centre, Denver Health Medical Centre, Denver, Colorado 80204, USA.
3 Department of Radiology, University of Pittsburgh, 3471 5th Avenue, Suite 1010, Pittsburgh, Pennsylvania 15213, USA.

Correspondence should be sent to Dr B. H. Ziran.

Various techniques have been used for the fixation of the posterior pelvis, each with disadvantages specific to the technique. In this study, a new protocol involving the placement of posterior pelvic screws in the CT suite is described and evaluated.

A total of 66 patients with unstable pelvic ring injuries was stabilised under local anaesthesia with sedation. The mean length of time for the procedure was 26 minutes per screw. There were no technical difficulties or misplaced screws and no cases of infection or nonunion. All patients stated that they would choose to have the CT scan procedure again rather than a procedure requiring general anaesthesia. The charges for the procedure were approximately £1840 ($2800) per operation. CT-guided placement of iliosacral screws is a safe, feasible, and cost-effective alternative to radiologically-guided placement in the operating theatre in selected patients.




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P. V. Giannoudis, C. C. Tzioupis, H.-C. Pape, and C. S. Roberts
Percutaneous fixation of the pelvic ring: AN UPDATE
J Bone Joint Surg Br, February 1, 2007; 89-B(2): 145 - 154.
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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General