Removal of an iliosacral screw entrapping the L5 nerve root after failed posterior pelvic ring fixation: A case report

Journal of Orthopaedic Trauma

Volumn 21, Issue 6, 2007, Pages 414-417

  Weil, Yoram A ^a   Nousiainen, Markku T ^a   Helfet, David L ^a  

^a HOSPITAL FOR SPECIAL SURGERY   (United States)

Author keywords

Iliosacral screw complications; Pelvic ring disruptions; Percutaneous fixation of pelvic ring injuries

Indexed keywords

ADULT; ARTICLE; BONE SCREW; CASE REPORT; DEBRIDEMENT; DEVICE REMOVAL; FRACTURE FIXATION; HUMAN; JOINT DISLOCATION; LUMBAR SPINAL CORD; MALE; NERVE COMPRESSION; NERVE ROOT; OPEN REDUCTION; PELVIS FRACTURE; PERIPHERAL NERVE INJURY; PLATE FIXATION; PRIORITY JOURNAL; RADICULOPATHY; SACROILIAC JOINT; TREATMENT OUTCOME;

ADULT; BONE SCREWS; FRACTURE FIXATION, INTERNAL; FRACTURES, BONE; HUMANS; MALE; NERVE COMPRESSION SYNDROMES; PELVIC BONES; POSTOPERATIVE COMPLICATIONS; RADICULOPATHY; REOPERATION; SACROILIAC JOINT; SPINAL FUSION; SPINAL NERVES; TREATMENT OUTCOME;

EID: 34447340908     PISSN: 08905339     EISSN: None     Source Type: Journal    
DOI: 10.1097/BOT.0b013e3180cab6b5     Document Type: Article

References (19)

1. Moed BR, Kellam JF, McLaren A, et al. Internal fixation of the injured pelvic ring. In: Tile M, Helfet DL, Kellam JF. Fractures of the pelvis and acetabulum. 3rd ed. Philadelphia: Lippincott Williams and Wilkins; 2003:217-293.
2. Routt ML Jr, Kregor PJ, Simonian PT, et al. Early results of percutaneous iliosacral screws placed with the patient in the supine position. J Orthop Trauma. 1995;9:207-214.
3. Simonian PT, Routt ML Jr, Harrington RM, et al. Biomechanical simulation of the anteroposterior compression injury of the pelvis. An understanding of instability and fixation. Clin Orthop Relat Res. 1994;309:245-256.
4. Yinger K, Scalise J, Olson SA, et al. Biomechanical comparison of posterior pelvic ring fixation. J Orthop Trauma. 2003;17:481-487.
5. Ebraheim NA, Xu R, Biyani A, et al. Morphologic considerations of the first sacral pedicle for iliosacral screw placement. Spine. 1997;22:841.
6. Templeman D, Schmidt A, Freese J, et al. Proximity of iliosacral screws to neurovascular structures after internal fixation. Clin Orthop Relat Res. 1996;329:194-198.
7. Xu R, Ebraheim NA, Robke J, et al. Radiologic evaluation of iliosacral screw placement. Spine. 1996;21:582-588.
8. Routt ML Jr, Simonian PT, Agnew SG, et al. Radiographic recognition of the sacral alar slope for optimal placement of iliosacral screws: a cadaveric and clinical study. J Orthop Trauma. 1996;10:171-177.
9. Reilly MC, Bono CM, Litkouhi B, et al. The effect of sacral fracture malreduction on the safe placement of iliosacral screws. J Orthop Trauma. 2006;20:S37-43.
10. Routt ML Jr, Simonian PT, Mills WJ. Iliosacral screw fixation: early complications of the percutaneous technique. J Orthop Trauma. 1997;11:584-589.
11. Keating JF, Werier J, Blachut P, et al. Early fixation of the vertically unstable pelvis: the role of iliosacral screw fixation of the posterior lesion. J Orthop Trauma. 1999;13:107-113.
12. Ricci WM, Padberg AM, Borrelli J. The significance of anode location for stimulus-evoked electromyography during iliosacral screw placement. J Orthop Trauma. 2003;17:95-99.
13. Moed BR, Ahmad BK, Craig JG, et al. Intraoperative monitoring with stimulus-evoked electromyography during placement of iliosacral screws. An initial clinical study. J Bone Joint Surg Am. 1998;80:537-546.
14. Webb LX, de Araujo W, Donofrio P, et al. Electromyography monitoring for percutaneous placement of iliosacral screws. J Orthop Trauma. 2000;14:245-254.
15. Peng KT, Huang KC, Chen MC, et al. Percutaneous placement of iliosacral screws for unstable pelvic ring injuries: comparison between one and two C-arm fluoroscopic techniques. J Trauma. 2006;60:602-608.
16. Briem D, Rueger JM, Begemann PG, et al. [Computer-assisted screw placement into the posterior pelvic ring: assessment of different navigated procedures in a cadaver trial.] Unfallchirurg. 2006;109:640-646.
17. Smith HE, Yuan PS, Sasso R, et al. An evaluation of image-guided technologies in the placement of percutaneous iliosacral screws. Spine. 2006;31:234-238.
18. Mosheiff R, Khoury A, Weil Y, et al. First generation computerized fluoroscopic navigation in percutaneous pelvic surgery. J Orthop Trauma. 2004;18:106-111.
19. Sagi HC, Lindvall EM. Inadvertent intraforaminal iliosacral screw placement despite apparent appropriate positioning on intraoperative fluoroscopy. J Orthop Trauma. 2005;19:130-133.