TY - JOUR
T1 - Patient-Specific 3D Virtual Surgical Planning Using Simulated Fluoroscopic Images to Improve Sacroiliac Joint Fusion
AU - Kampkuiper, Nick
AU - Nellensteijn, Jorm
AU - Hekman, Edsko
AU - Tuijthof, Gabriëlle
AU - Lankheet, Steven
AU - Koenrades, Maaike
AU - Schröder, Femke
N1 - Publisher Copyright:
© 2023 by the authors.
PY - 2023/12
Y1 - 2023/12
N2 - Sacroiliac (SI) joint dysfunction can lead to debilitating pain but can be 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. This article describes a workflow with VSP in SIJF using simulated fluoroscopic images and evaluates achieved implant placement accuracy. Ten interventions were performed on 10 patients by the same surgeon, resulting in a total of 30 implants; the median age was 39 years, and all patients were female. The overall mean implant placement accuracy was 4.9 ± 1.26 mm and 4.0 ± 1.44°. There were no malpositioning complications. VSP helped the surgeon understand the anatomy and determine the optimal position and length of the implants. The planned positions of the implants could be reproduced in surgery with what appears to be a clinically acceptable level of accuracy.
AB - Sacroiliac (SI) joint dysfunction can lead to debilitating pain but can be 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. This article describes a workflow with VSP in SIJF using simulated fluoroscopic images and evaluates achieved implant placement accuracy. Ten interventions were performed on 10 patients by the same surgeon, resulting in a total of 30 implants; the median age was 39 years, and all patients were female. The overall mean implant placement accuracy was 4.9 ± 1.26 mm and 4.0 ± 1.44°. There were no malpositioning complications. VSP helped the surgeon understand the anatomy and determine the optimal position and length of the implants. The planned positions of the implants could be reproduced in surgery with what appears to be a clinically acceptable level of accuracy.
KW - Implant placement accuracy
KW - Minimally invasive surgery
KW - Patient-specific modeling
KW - Sacroiliac joint dysfunction
KW - Sacroiliac joint fusion
KW - Simulated fluoroscopic images
KW - Virtual surgical planning
UR - http://www.scopus.com/inward/record.url?scp=85176601253&partnerID=8YFLogxK
U2 - 10.3390/biomechanics3040041
DO - 10.3390/biomechanics3040041
M3 - Article
AN - SCOPUS:85176601253
SN - 2673-7078
VL - 3
SP - 511
EP - 522
JO - Biomechanics
JF - Biomechanics
IS - 4
ER -