Ten Tips to Improve Iliosacral Screw Placement

Sacroiliac screw fixation has become the most common procedure for iliosacral joint fracture-dislocations and sacral fractures in the last decade. At present, the standard technique is the percutaneous iliosacral screw fixation under conventional C-arm fluoroscopy. This technique is considered to be a highly demanding operative technique with a high rate of screw malpositions, which may be associated with the risk of neurologic damage or inefficient stability. The surgical steps have been carefully described but, according to our experience, several tricks may be added to those descriptions. The purpose of this review is to summarize ten simple tips to help minimize failures and improve outcomes when positioning iliosacral screws.


Aprato A*, Devivo S and Masse A

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