Percutaneous Sacroiliac Screw Technique

Area of Science:

• Orthopedic Surgery
• Surgical Techniques
• Trauma Surgery

Background:

• Percutaneous sacroiliac screw fixation is a critical procedure for pelvic fractures.
• Meticulous preoperative planning, accurate surgical indications, and effective fracture reduction are essential for successful outcomes.

Purpose of the Study:

• To present a detailed technique for performing percutaneous sacroiliac screws (transiliac-transsacral and sacral).
• To highlight critical technical aspects for improved patient safety and procedural success.

Main Methods:

• Detailed description of a routinely used technique for percutaneous sacroiliac screw placement.
• Utilizes video, still pictures, and fluoroscopy for guidance.
• Emphasizes patient positioning and intraoperative fluoroscopy, advocating for the lateral sacral view as the primary imaging modality.
• Recommends a cannulated drill guide and long drill tip guide wires for enhanced manual control.

Main Results:

• The described technique aims to optimize screw placement and trajectory.
• Highlights the importance of understanding sacral anatomy and safe zones for patient safety.
• The approach facilitates efficient procedure execution by minimizing changes in imaging and trajectory.

Conclusions:

• Successful percutaneous sacroiliac screw fixation relies on precise preoperative planning and intraoperative technique.
• The presented method, focusing on specific imaging and instrumentation, enhances control and safety.
• Adherence to these technical points contributes to successful surgical outcomes in sacroiliac screw fixation.