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Related Experiment Video

Updated: Mar 17, 2026

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
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Percutaneous Sacroiliac Screw Technique.

John Tidwell1, Rosa Cho, J Spence Reid

  • 1*Department of Orthopaedics, UCSF Fresno, Fresno, CA; †West Virginia University School of Medicine; and ‡Department of Orthopaedics, Penn State University, Hershey, PA.

Journal of Orthopaedic Trauma
|July 22, 2016
PubMed
Summary
This summary is machine-generated.

This guide details a technique for percutaneous sacroiliac screw fixation, emphasizing preoperative planning and intraoperative imaging. It offers insights into patient positioning and fluoroscopy use for successful surgical outcomes.

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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.