Comparison of fluoroscopy and fluoroscopy-based 2D computer navigation for iliosacral screw placement: a retrospective study

Madeja, Roman; Pometlová, Jana; Osemlak, Paweł; Voves, Jiří; Bialy, Lubor; Vrtková, Adéla; Pleva, Leopold

doi:10.1007/s00068-022-02020-y

Cited by 4 publications

(1 citation statement)

References 24 publications

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“…[7][8][9] Some patients with COVID-19 infection may suffer from a severe acute health problem where HBOT may be a helpful or life-saving treatment option. [10][11][12] Some patients with COVID-19 are asymptomatic. In other cases, COVID-19 is detected during hospitalization.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 infection prevention and control management during hyperbaric oxygen therapy: a best practice implementation project

Hájek,

Chmelař,

Rozložník

et al. 2023

JBI Evidence Implementation

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Objective: This implementation project compared standard operating procedures, accepted preventive measures, and disinfection procedures between the initial stage of the COVID-19 pandemic (first wave: March 15 to May 31, 2020) and the later stages of the pandemic (second and third waves: September 1, 2020 to January 31, 2021). Introduction: This project sought to improve compliance with international evidence-based guidelines and clinical standards for the prevention and control of COVID-19 infection during hyperbaric oxygen therapy taking into account the conditions of the local hospital. Methods: Guided by the JBI evidence implementation framework, seven evidence-based audit criteria were developed for the prevention and control of COVID-19 infection during hyperbaric oxygen therapy. A questionnaire was used to measure compliance in baseline and follow-up audits. Results: Differences between the baseline and follow-up audits were noted for criteria 6 and 7. Criterion 6 increased from 0% to 100% as the hyperbaric facility was equipped with certified ultraviolet-C radiation for air disinfection during the later period, but this equipment was not available in the initial period of the pandemic. Criterion 7 dropped from 100% in the baseline audit to 0% in the follow-up audit because of a significant increase in the operational burden of the treatment capacity of the facility, which made it impossible to comply with the recommended distancing between patients. Conclusions: Differences were found in preventive measures, disinfection procedures, work organization, and approach to care strategy. The project objectives were met and the implementation strategies proved effective. Larger sample sizes would need be needed to confirm the reproducibility of the results.

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Section: Introductionmentioning

confidence: 99%

COVID-19 infection prevention and control management during hyperbaric oxygen therapy: a best practice implementation project

Hájek,

Chmelař,

Rozložník

et al. 2023

JBI Evidence Implementation

View full text Add to dashboard Cite

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From case to context: A case-driven comprehensive review on Kirschner wire migration to the cervical spine and neck

Hrubovčák,

Tulinský,

Jelínek

et al. 2024

Trauma

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Introduction Osteosynthesis using Kirschner wires constitutes a fundamental technique within the realms of traumatology and orthopaedics. Despite its widespread application and popularity, it is susceptible to migration of the wires. Case Report A 36-year-old patient presented with neck pain; subsequent radiographic imaging identified two Kirschner wires that had migrated to the cervical spine following failed removal after K-wiring of a fractured left clavicle 16 years previously. Surgical removal was undertaken complicated by a parapharyngeal abscess that needed surgical drainage and neurological symptoms in terms of left shoulder weakness and left arm/hand paraesthesia. All neurological symptoms resolved after many months of rehabilitation excepting some residual paraesthesia on the ulnar border of the left hand. Discussion A thorough literature review reveals 30 other cases of K-wire migration to the cervical spine. Vague symptoms are the norm with <25% presenting focal neurological symptoms, with only 6 penetrating the spinal cord, two of which were left with severe deficits. The other 28 patients had no long-term significant deficits. Conclusion The migration of K-wires into the spinal canal, is a rare but recognised complication. Functional outcomes are contingent on spinal cord injuries arising from the implantation. In the absence of spinal cord injury, a high probability of complete functional restoration and symptom resolution exists.

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Navigation versus fluoroscopy in minimalinvasive iliosacral screw placement

Prost,

Taday,

Beyersdorf

et al. 2024

J Orthop Surg Res

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Introduction When needed operative treatment of sacral fractures is mostly performed with percutaneous iliosacral screw fixation. The advantage of navigation in insertion of pedicle screws already could be shown by former investigations. The aim of this investigation was now to analyze which influence iliosacral screw placement guided by navigation has on duration of surgery, radiation exposure and accuracy of screw placement compared to the technique guided by fluoroscopy. Methods 68 Consecutive patients with sacral fractures who have been treated by iliosacral screws were inclouded. Overall, 85 screws have been implanted in these patients. Beside of demographic data the duration of surgery, duration of radiation, dose of radiation and accuracy of screw placement were analyzed. Results When iliosacral screw placement was guided by navigation instead of fluoroscopy the dose of radiation per inserted screw (155.0 cGy*cm2 vs. 469.4 cGy*cm2p < 0.0001) as well as the duration of radiation use (84.8 s vs. 147.5 s p < 0.0001) were significantly lower. The use of navigation lead to a significant reduction of duration of surgery (39.0 min vs. 60.1 min p < 0.01). The placement of the screws showed a significantly higher accuracy when performed by navigation (0 misplaced screws vs 6 misplaced screws—p < 0.0001). Conclusion Based on these results minimal invasive iliosacral screw placement guided by navigation seems to be a safe procedure, which leads to a reduced exposure to radiation for the patient and the surgeon, a reduced duration of surgery as well as a higher accuracy of screw placement.

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Comparison of fluoroscopy and fluoroscopy-based 2D computer navigation for iliosacral screw placement: a retrospective study

Cited by 4 publications

References 24 publications

COVID-19 infection prevention and control management during hyperbaric oxygen therapy: a best practice implementation project

COVID-19 infection prevention and control management during hyperbaric oxygen therapy: a best practice implementation project

From case to context: A case-driven comprehensive review on Kirschner wire migration to the cervical spine and neck

Navigation versus fluoroscopy in minimalinvasive iliosacral screw placement

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