Anatomical and Radiological Considerations in: Compressive Bar Technique for Posterior: Pelvic Disruptions
Sacral bar fixation is a well-recognized technique for the treatment of posteriorly unstable pelvic injuries, particularly sacral fractures. The sacral bars are placed in the illiac crest posterior to the sacrum. We reviewed 103 pelvic computed tomography (CT) scans and three cadaver pelves to measu...
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| Veröffentlicht in: | Journal of orthopaedic trauma 1991, Vol.5 (4), p.434-438 |
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| container_title | Journal of orthopaedic trauma |
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| creator | Ebraheim, Nabil A Coombs, Robert Hoeflinger, Michael J Zeman, Craig Jackson, W Thomas |
| description | Sacral bar fixation is a well-recognized technique for the treatment of posteriorly unstable pelvic injuries, particularly sacral fractures. The sacral bars are placed in the illiac crest posterior to the sacrum. We reviewed 103 pelvic computed tomography (CT) scans and three cadaver pelves to measure the iliac crest prominence and its spatial relationship to the lamina of the sacrum. It was found that the best bony purchase for the bars is at the level of the L5-S1 junction. Lower placement of the bar increases the risk of violating the sacral canal and may also decrease the bony purchase of the bars. Some patients have an inadequate iliac crest posteriorly for proper placement; therefore, the pelvic CT scans should always be carefully evaluated preoperatively. The study also includes a description of a technique for percutaneous placement of sacral bars using fluoroscopic guidance. |
| doi_str_mv | 10.1097/00005131-199112000-00008 |
| format | Article |
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The sacral bars are placed in the illiac crest posterior to the sacrum. We reviewed 103 pelvic computed tomography (CT) scans and three cadaver pelves to measure the iliac crest prominence and its spatial relationship to the lamina of the sacrum. It was found that the best bony purchase for the bars is at the level of the L5-S1 junction. Lower placement of the bar increases the risk of violating the sacral canal and may also decrease the bony purchase of the bars. Some patients have an inadequate iliac crest posteriorly for proper placement; therefore, the pelvic CT scans should always be carefully evaluated preoperatively. The study also includes a description of a technique for percutaneous placement of sacral bars using fluoroscopic guidance.</description><identifier>ISSN: 0890-5339</identifier><identifier>EISSN: 1531-2291</identifier><identifier>DOI: 10.1097/00005131-199112000-00008</identifier><identifier>PMID: 1762004</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Biological and medical sciences ; Female ; Fractures, Bone - diagnostic imaging ; Fractures, Bone - surgery ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Orthopedic Fixation Devices ; Pelvic Bones - diagnostic imaging ; Pelvic Bones - injuries ; Pelvic Bones - surgery ; Sacrum - diagnostic imaging ; Sacrum - surgery ; Tomography, X-Ray Computed ; Traumas. 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The sacral bars are placed in the illiac crest posterior to the sacrum. We reviewed 103 pelvic computed tomography (CT) scans and three cadaver pelves to measure the iliac crest prominence and its spatial relationship to the lamina of the sacrum. It was found that the best bony purchase for the bars is at the level of the L5-S1 junction. Lower placement of the bar increases the risk of violating the sacral canal and may also decrease the bony purchase of the bars. Some patients have an inadequate iliac crest posteriorly for proper placement; therefore, the pelvic CT scans should always be carefully evaluated preoperatively. The study also includes a description of a technique for percutaneous placement of sacral bars using fluoroscopic guidance.</description><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Fractures, Bone - diagnostic imaging</subject><subject>Fractures, Bone - surgery</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orthopedic Fixation Devices</subject><subject>Pelvic Bones - diagnostic imaging</subject><subject>Pelvic Bones - injuries</subject><subject>Pelvic Bones - surgery</subject><subject>Sacrum - diagnostic imaging</subject><subject>Sacrum - surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0890-5339</issn><issn>1531-2291</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV9PwyAUxYnRzDn9CCY8GN-qQEspe9P5N1niYuZzw1rqmLRMaLf47b3bGt_kBTj3d24uB4QwJTeUSHFLYHEa04hKSSmDW7STsiM0pBxkxiQ9RkOSSRLxOJan6CyE1Y4gjA3QgIoUTMkQre4a1braFMpi1ZT4XZXGWfe5FyauCabUXrUGTtg0Y5DqtdchmI3G98rjuS6WjfnuNK6cxzMXWu2N82M803ZjCvxggu_We_85OqmUDfqi30fo4-lxPnmJpm_Pr5O7abRikmQwegLTEcmEKHWcCqHTjCtKRFUlpcpEUqSpiAmvCFWM8YJVgnMBlkRXC8Z5PELXh75r72Cw0Oa1CYW2VjXadSEXjItEpBLAyx7sFrUu87U3tfI_eR8O1K_6ugoQR-VVU5jwh3EInmcUsOSAbZ2F14cv2221z5da2XaZ__dT8S_124Nv</recordid><startdate>1991</startdate><enddate>1991</enddate><creator>Ebraheim, Nabil A</creator><creator>Coombs, Robert</creator><creator>Hoeflinger, Michael J</creator><creator>Zeman, Craig</creator><creator>Jackson, W Thomas</creator><general>Lippincott-Raven Publishers</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>1991</creationdate><title>Anatomical and Radiological Considerations in: Compressive Bar Technique for Posterior: Pelvic Disruptions</title><author>Ebraheim, Nabil A ; Coombs, Robert ; Hoeflinger, Michael J ; Zeman, Craig ; Jackson, W Thomas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j2908-22417609277de3677e685a107ff4da874c667305f01a225c2f75571764efb2553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Fractures, Bone - diagnostic imaging</topic><topic>Fractures, Bone - surgery</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Orthopedic Fixation Devices</topic><topic>Pelvic Bones - diagnostic imaging</topic><topic>Pelvic Bones - injuries</topic><topic>Pelvic Bones - surgery</topic><topic>Sacrum - diagnostic imaging</topic><topic>Sacrum - surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ebraheim, Nabil A</creatorcontrib><creatorcontrib>Coombs, Robert</creatorcontrib><creatorcontrib>Hoeflinger, Michael J</creatorcontrib><creatorcontrib>Zeman, Craig</creatorcontrib><creatorcontrib>Jackson, W Thomas</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of orthopaedic trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ebraheim, Nabil A</au><au>Coombs, Robert</au><au>Hoeflinger, Michael J</au><au>Zeman, Craig</au><au>Jackson, W Thomas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anatomical and Radiological Considerations in: Compressive Bar Technique for Posterior: Pelvic Disruptions</atitle><jtitle>Journal of orthopaedic trauma</jtitle><addtitle>J Orthop Trauma</addtitle><date>1991</date><risdate>1991</risdate><volume>5</volume><issue>4</issue><spage>434</spage><epage>438</epage><pages>434-438</pages><issn>0890-5339</issn><eissn>1531-2291</eissn><abstract>Sacral bar fixation is a well-recognized technique for the treatment of posteriorly unstable pelvic injuries, particularly sacral fractures. The sacral bars are placed in the illiac crest posterior to the sacrum. We reviewed 103 pelvic computed tomography (CT) scans and three cadaver pelves to measure the iliac crest prominence and its spatial relationship to the lamina of the sacrum. It was found that the best bony purchase for the bars is at the level of the L5-S1 junction. Lower placement of the bar increases the risk of violating the sacral canal and may also decrease the bony purchase of the bars. Some patients have an inadequate iliac crest posteriorly for proper placement; therefore, the pelvic CT scans should always be carefully evaluated preoperatively. The study also includes a description of a technique for percutaneous placement of sacral bars using fluoroscopic guidance.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>1762004</pmid><doi>10.1097/00005131-199112000-00008</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of orthopaedic trauma, 1991, Vol.5 (4), p.434-438 |
| issn | 0890-5339 1531-2291 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Biological and medical sciences Female Fractures, Bone - diagnostic imaging Fractures, Bone - surgery Humans Injuries of the limb. Injuries of the spine Male Medical sciences Orthopedic Fixation Devices Pelvic Bones - diagnostic imaging Pelvic Bones - injuries Pelvic Bones - surgery Sacrum - diagnostic imaging Sacrum - surgery Tomography, X-Ray Computed Traumas. Diseases due to physical agents |
| title | Anatomical and Radiological Considerations in: Compressive Bar Technique for Posterior: Pelvic Disruptions |
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