This cadaveric and clinical study examined how upper sacral morphology varies and whether the true lateral sacral fluoroscopic view can guide safer percutaneous iliosacral screw placement. It evaluated 10 cadaveric pelvises with wire markers and 80 consecutive patients with unstable pelvic fractures treated by a single surgeon. The central question: can preoperative imaging and intraoperative lateral fluoroscopy prevent the malposition errors that inlet and outlet views alone cannot detect?
This cadaveric and clinical study examined how upper sacral morphology varies and whether the true lateral sacral fluoroscopic view can guide safer percutaneous iliosacral screw placement. It evaluated 10 cadaveric pelvises with wire markers and 80 consecutive patients with unstable pelvic fractures treated by a single surgeon. The central question: can preoperative imaging and intraoperative lateral fluoroscopy prevent the malposition errors that inlet and outlet views alone cannot detect?