Description
Sacroiliac (SI) joint dysfunction leading to debilitating pain can be effectively treated with minimally invasive sacroiliac joint fusion (SIJF). This treatment is commonly performed using 2D fluoroscopic guidance. This makes placing the implants without damaging surrounding neural structures challenging. Virtual surgical planning (VSP) using simulated fluoroscopic images may improve intraoperative guidance. We describe a VSP workflow for SIJF using simulated fluoroscopic images and evaluate it for achieved implant placement accuracy. Ten SIJFs were performed on 10 patients by the same surgeon, giving a total of 30 planned and placed implants; the median age was 39 years, and all patients were female. The overall mean implant placement accuracy was 4.9 ± 1.3 mm and 4.0 ± 1.4°. Malpositioning complications were absent. VSP assisted the surgeon in mentally reconstructing the complex 3D anatomy leading to a clinically acceptable accuracy in positioning and length selection of the implants.Period | 2024 |
---|---|
Event title | 23rd Annual Computer Assisted Orthopaedic Surgery (CAOS) Congress 2024: Further together |
Event type | Conference |
Location | Groningen, NetherlandsShow on map |