Closed reduction with CT-guided screw fixation for unstable sacroiliac joint fracture-dislocation.

Abstract:

BACKGROUND:Unstable posterior pelvic ring fractures and dislocations are uncommon but potentially life-threatening injuries in children. Early definitive management reduces risk of immediate complications as well as chronic pain and gait dysfunction. Conventional operative therapy carries substantial risk of extensive blood loss and iatrogenic neurological and vascular injury. Minimally invasive image-guided intervention may further reduce immediate risk and improve long-term outcome. OBJECTIVE:To describe CT-guided closed reduction and internal fixation (CRIF) and review outcomes of unstable fracture-dislocation of the sacroiliac (SI) joint in children. MATERIALS AND METHODS:Between 2000 and 2003, three children (two girls, one boy) age 8-14 years were referred to interventional radiology for treatment of unstable SI joint fracture-dislocation not adequately treated with anterior external fixation alone. RESULTS:The three affected SI joints (two left, one right) were treated in a combined approach by pediatric interventional radiologists and orthopedic surgeons, using a percutaneous approach under CT guidance. Over a threaded guiding pin, 7.3 mm cannulated screws were used to achieve stable reduction of the affected SI joints. One screw was removed after slight (2 mm) migration. No neurovascular or other complications occurred. All patients had satisfactory healing with near-anatomic reduction, although recovery of the youngest was delayed by associated spinal injury. CONCLUSIONS:Compared to open surgical alternatives, CRIF under CT guidance reduces operating time, decreases blood loss, and allows early definitive fixation and immediate non-weight-bearing mobilization with a low rate of complication for unstable posterior pelvic ring fractures. In addition, CT-guided placement of the guide pin may allow safer screw positioning and may minimize the total number of screws needed to achieve pelvic stability.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Baskin KM,Cahill AM,Kaye RD,Born CT,Grudziak JS,Towbin RB

doi

10.1007/s00247-004-1291-8

keywords:

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

963-9

issue

12

eissn

0301-0449

issn

1432-1998

journal_volume

34

pub_type

杂志文章
  • The key role of the pediatric radiologist in developing a multidisciplinary fetal center.

    abstract::With the demand for fetal imaging and fetal care programs on the rise, the authors of this manuscript review the components of building a successful fetal imaging center. Creating an environment that engages a multidisciplinary team, utilizing a central coordinator to review clinical and psychosocial aspects of each p...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-020-04702-4

    authors: Pesacreta LD,Cilli KE,Lawrence AK,Bulas DI

    更新日期:2020-12-01 00:00:00

  • Problems associated with digital luminescence radiography in the neonate and young infant. Problems with digital radiography.

    abstract::An evaluation of the Siemens Digiscan has been undertaken to determine whether digital luminescence radiography (DLR) could replace conventional radiography in the examination of the neonate and young infant. Whilst the overall image quality of the digital radiograph was consistently higher than for conventional radio...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02011600

    authors: Arthur RJ,Pease JN

    更新日期:1992-01-01 00:00:00

  • The olive on end: a useful variant of the "shoulder" sign in the barium X-ray diagnosis of idiopathic hypertrophic pyloric stenosis.

    abstract::We describe a radiographic sign of infantile hypertrophic pyloric stenosis. This sign, elicited during firm compression of the barium-coated pyloric region, is a round or avoid filling defect caused by the hypertrophied pyloric muscle protruding en face into the gastric lumen. This filling defect typically reveals a b...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02019857

    authors: Levine D,Edwards DK 3rd

    更新日期:1992-01-01 00:00:00

  • Hypertrophic osteoarthropathy caused by lipoid pneumonia.

    abstract::A case of hypertrophic osteoarthropathy in a 5-year-old Saudi boy is presented. The child developed painful joints, was found to have clubbing of fingers and radiologically hypertrophic osteoarthropathy was demonstrated. The underlying cause of the condition was ingestion of animal fat in infancy, with a history of gh...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02019076

    authors: Hugosson C,Bahabri S,Rifai A,al-Dalaan A

    更新日期:1995-01-01 00:00:00

  • Pure methotrexate encephalopathy presenting with seizures: CT and MRI features.

    abstract::With the advent of chemotherapy, mortality rates in acute lymphoblastic leukaemia (ALL) have decreased, but complications in the central nervous system have appeared. These include direct involvement of the brain itself and the development of chemotherapy-related encephalopathy as a delayed reaction. In most reported ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470050299

    authors: Lövblad K,Kelkar P,Ozdoba C,Ramelli G,Remonda L,Schroth G

    更新日期:1998-02-01 00:00:00

  • The effect of dexamethasone on respirator-dependent very-low-birth-weight infants is best predicted by chest X-ray.

    abstract:BACKGROUND:Chronic lung disease (CLD) in premature infants shows a variable clinical course with different radiological manifestations. OBJECTIVE:To evaluate the correlation between parameters of trans-membrane permeability [albumin/secretory component (SC)] and oxidative stress [malondialdehyde (MDA)/SC] in tracheal ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470100444

    authors: Schrod L,Neuhaus T,Horwitz AE,Speer CP

    更新日期:2001-05-01 00:00:00

  • Fat-containing lesions revealed by CT in children with right lower quadrant pain.

    abstract::Suspected appendicitis is the most common indication for emergent abdominal surgery in children. The clinical diagnosis of appendicitis can be challenging, and CT is playing an increasing role in the evaluation of right lower quadrant pain. Occasionally, alternative diagnoses to appendicitis can be suggested on CT. Th...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-008-1110-8

    authors: Maxfield CM,Bayindir P

    更新日期:2009-04-01 00:00:00

  • Mesoblastic nephroma: prenatal ultrasonographic and MRI features.

    abstract::Antenatal detection of mesoblastic nephroma by US is possible. Reviewing the literature, we found 19 previously reported cases, only 1 of which underwent prenatal MRI. We present a further case diagnosed by US and confirmed with MRI. The imaging findings and differential diagnoses are discussed. Early and correct dete...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470050033

    authors: Irsutti M,Puget C,Baunin C,Duga I,Sarramon MF,Guitard J

    更新日期:2000-03-01 00:00:00

  • Congenital hemihypertrophy and epithelioid haemangioendothelioma in a 10-year-old boy: a case report.

    abstract::Epithelioid haemangioendothelioma has not been previously described in a patient with congenital hemihypertrophy and diabetes mellitus. Hepatic nodules were incidentally discovered on a routine US examination searching for known associated abnormalities. Pulmonary nodules were present on chest X-ray and CT of the lung...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470050661

    authors: Miller JH,Gillet PM,Hendry GM,Wallace WH

    更新日期:1999-08-01 00:00:00

  • Characteristic calcaneal ossification: an additional early radiographic finding in infants with fibrodysplasia ossificans progressiva.

    abstract:BACKGROUND:We have clinically encountered children with fibrodysplasia ossificans progressiva who had abnormal calcaneal ossification. OBJECTIVE:To evaluate whether calcaneal ossification variants are significant radiographic findings in children with fibrodysplasia ossificans progressiva. MATERIALS AND METHODS:Later...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-016-3662-3

    authors: Hasegawa S,Victoria T,Kayserili H,Zackai E,Nishimura G,Haga N,Nakashima Y,Miyazaki O,Kitoh H

    更新日期:2016-10-01 00:00:00

  • A rare case of 'blow-up' fracture of the orbit in a child.

    abstract::We present a case of blow-out fracture of the superomedial orbital wall in a 6-year-old boy. The initial plain radiograph showed an intact orbital margin and opacification of the ethmoid sinus. A fine-cut CT scan of the facial bones revealed a complex fracture of the medial orbital wall extending into the orbital roof...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-009-1280-z

    authors: Patel PN,Kenney IJ

    更新日期:2009-08-01 00:00:00

  • Effect of vertical positioning on organ dose, image noise and contrast in pediatric chest CT--phantom study.

    abstract:BACKGROUND:CT optimization has a special importance in children. Smaller body size accentuates the importance of patient positioning affecting both radiation dose and image quality. OBJECTIVE:To determine the effect of vertical positioning on organ dose, image noise and contrast in pediatric chest CT examination. MAT...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-012-2611-z

    authors: Kaasalainen T,Palmu K,Lampinen A,Kortesniemi M

    更新日期:2013-06-01 00:00:00

  • Brown fat necrosis in the setting of congenital heart disease and prostaglandin E1 use: a case report.

    abstract::We report a case of a child with D-transposition of the great arteries treated with prostaglandin E1 (PGE1) who subsequently developed extensive brown fat necrosis. To the best of our knowledge, no previous association among congenital heart disease, PGE1, and brown fat necrosis has been reported. ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470050536

    authors: Raboi CA,Smith W

    更新日期:1999-01-01 00:00:00

  • Interhemispheric fissure width in neonates on ECMO.

    abstract::The neurosonograms of fifty-eight patients treated over a four-year period with ECMO support were retrospectively reviewed for analysis of changes in interhemispheric (IHF) width while on ECMO. To correlate these measurements with patterns of development of total body edema as reflected by chest wall thickening on por...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02010805

    authors: Rubin DA,Gross GW,Ehrlich SM,Alexander AA

    更新日期:1990-01-01 00:00:00

  • Contrast-enhanced magnetic resonance venography in pediatric patients with chronic kidney disease: initial experience with ferumoxytol.

    abstract::Ferumoxytol is an ultra-small superparamagnetic iron oxide (USPIO) particle that is FDA-approved for parenteral treatment of iron deficiency anemia in adults with chronic kidney disease. Because of the association between gadolinium-based contrast agents and nephrogenic systemic fibrosis in patients with severe chroni...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-016-3605-z

    authors: Luhar A,Khan S,Finn JP,Ghahremani S,Griggs R,Zaritsky J,Salusky I,Hall TR

    更新日期:2016-08-01 00:00:00

  • Atypical teratoid/rhabdoid tumor of the optic nerve.

    abstract::We report a rare case of atypical teratoid/rhabdoid tumor that presented with imaging findings similar to those of optic pathway glioma. The diagnosis of atypical teratoid/rhabdoid tumor was determined following surgical resection of the tumor by collective histologic and immunohistochemical staining, and cytogenetic ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-008-0923-9

    authors: Verma A,Morriss C

    更新日期:2008-10-01 00:00:00

  • Spondylo-epiphyso-metaphyseal dysplasia: an atypical variant.

    abstract::In a 12 years, 10 months-old-girl with severe nanism we observed bone changes of unusual spondylo-epi-metaphyseal dysplasia (S.E.M.D.). The metaphyseal and epiphyseal changes in the long bones were symmetrical and mostly rhizomelic - with the involvement of the iliac bones, tarsal bones with irregular lesions and disp...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02010826

    authors: Vichi GF,Salti R,Galluzzi F,Corti S,Carbonai R

    更新日期:1990-01-01 00:00:00

  • Comparison of CT and MRI in the evaluation of therapeutic response in thoracic Hodgkin disease.

    abstract::Current imaging modalities are accurate in establishing the diagnosis and extent of thoracic Hodgkin disease. After treatment, however, it is extremely difficult to differentiate potential residual active neoplastic disease from scar tissue, or identify early recurrence. We evaluated the contribution of MRI in the ass...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02010921

    authors: Elkowitz SS,Leonidas JC,Lopez M,Cherick I,Schiff RG,Karayalcin G,Lanzkowsky P

    更新日期:1993-01-01 00:00:00

  • Proximal radius fractures in children: evaluation of associated elbow fractures.

    abstract:BACKGROUND:Additional fractures occur in association with proximal radius fractures, but the extent of these secondary injuries has not been systematically assessed. OBJECTIVE:To ascertain the frequency and nature of additional fractures associated with proximal radius injuries in a large pediatric cohort. MATERIALS ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-019-04445-x

    authors: Degnan AJ,Ho-Fung VM,Nguyen JC,Barrera CA,Lawrence JTR,Kaplan SL

    更新日期:2019-08-01 00:00:00

  • MR of right aortic arch with mirror-image branching and a left ligamentum arteriosum: an unusual cause of a vascular ring.

    abstract::An unusual case is presented of a vascular ring due to a right arch with mirror-image branching and a left ligamentum arteriosum from the descending aorta to the left pulmonary artery. There have been only four previous reports of this rare arch anomaly. In addition, the patient had no underlying congenital heart lesi...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02019065

    authors: Schlesinger AE,Mendeloff E,Sharkey AM,Spray TL

    更新日期:1995-01-01 00:00:00

  • Interloop fluid in intussusception: what is its significance?

    abstract:BACKGROUND:Sonography has been used to predict pneumatic reduction outcome in children with intussusception. OBJECTIVE:To assess the prognostic significance of fluid between the intussusceptum and intussuscepiens with respect to reduction outcome, lead point or necrosis. MATERIALS AND METHODS:Sonograms of children wi...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-010-1931-0

    authors: Gartner RD,Levin TL,Borenstein SH,Han BK,Blumfield E,Murphy R,Freeman K

    更新日期:2011-06-01 00:00:00

  • Intestinal blood-flow velocity in uncomplicated preterm infants during the early neonatal period.

    abstract:BACKGROUND:Intestinal blood-flow changes after birth. Objective. To elucidate the factors influencing intestinal blood-flow velocity in preterm infants during the early neonatal period. MATERIALS AND METHODS:We measured blood-flow velocity in the superior mesenteric artery by pulsed Doppler US in 44 uncomplicated infa...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470050621

    authors: Maruyama K,Koizumi T,Tomomasa T,Morikawa A

    更新日期:1999-06-01 00:00:00

  • Fetal MR imaging of Kniest dysplasia.

    abstract::We present a case of Kniest dysplasia, a rare form of the type II collagenopathies, with prenatal MRI. Sonography revealed only short limbs in the fetus. Fetal MRI findings included enlarged hyaline cartilaginous structures with abnormally high T2 signal intensity, delayed ossification of the pubic and ischial bones, ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-009-1444-x

    authors: Yazici Z,Kline-Fath BM,Laor T,Tinkle BT

    更新日期:2010-03-01 00:00:00

  • Ultrasound diagnosis of medial clavicular epiphysis avulsion fracture in a neonate.

    abstract::Clavicle fractures are the most common bony injury that occurs during the delivery process. We present a case of medial clavicular physeal fracture mimicking sternoclavicular dislocation diagnosed by ultrasound (US) in a neonate. The infant presented to our clinic at 12 days old with improving left upper extremity pse...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-019-04583-2

    authors: Baessler AM,Wessel RP,Caltoum CB,Wanner MR

    更新日期:2020-04-01 00:00:00

  • Heterotopic gastric mucosa involving the gallbladder and biliary tree.

    abstract::A case of heterotopic gastric mucosa in the common bile duct, cystic duct and gallbladder is reported in a 3-year-old girl with abdominal pain and jaundice. Abdominal US and CT showed dilatation of the biliary tree and a well-defined mass in the common bile duct that narrowed its lumen. The gallbladder was contracted ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-002-0718-3

    authors: Madrid C,Berrocal T,Gorospe L,Prieto C,Gámez M

    更新日期:2003-02-01 00:00:00

  • Glutaric aciduria type 1: neuroimaging features with clinical correlation.

    abstract:BACKGROUND:Glutaric aciduria type 1 is a rare neurometabolic disease with high morbidity. OBJECTIVE:To describe the MR imaging abnormalities in glutaric aciduria type 1 and to identify any association between the clinical and imaging features. MATERIALS AND METHODS:MRI scans of 29 children (mean age: 16.9 months) wit...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-015-3395-8

    authors: Mohammad SA,Abdelkhalek HS,Ahmed KA,Zaki OK

    更新日期:2015-10-01 00:00:00

  • Comparison of liver T1 relaxation times without and with iron correction in pediatric autoimmune liver disease.

    abstract:BACKGROUND:Magnetic resonance imaging (MRI) T1 relaxometry (mapping) has been reported as a quantitative biomarker of liver injury due to inflammation and fibrosis. OBJECTIVE:To assess the relationship between liver MRI T1 relaxometry measurements obtained using a modified Look-Locker inversion recovery (MOLLI) pulse ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-020-04663-8

    authors: Dillman JR,Serai SD,Miethke AG,Singh R,Tkach JA,Trout AT

    更新日期:2020-06-01 00:00:00

  • Clinical pediatric positron emission tomography/magnetic resonance program: a guide to successful implementation.

    abstract::Children with malignancies undergo recurrent imaging as part of tumor diagnosis, staging and therapy response assessment. Simultaneous positron emission tomography (PET) and magnetic resonance (MR) allows for decreased radiation exposure and acts as a one-stop shop for disease in which MR imaging is required. Neverthe...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-019-04578-z

    authors: Saade-Lemus S,Nevo E,Soliman I,Otero HJ,Magee RW,Drum ET,States LJ

    更新日期:2020-05-01 00:00:00

  • Primary (isolated) bilateral pulmonary hypoplasia: a comparative study of radiologic findings and autopsy results.

    abstract::Comparative radiologic/pathologic study of 45 newborns with primary and secondary pulmonary hypoplasia is presented and 43 cases were proven at autopsy. From 9 cases with primary pulmonary hypoplasia, 7 could be identified by 3 independent observers on chest radiographs. The roentgen criteria of primary pulmonary hypo...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02456280

    authors: Langer R,Kaufmann HJ

    更新日期:1986-01-01 00:00:00

  • Obesity and fat quantification in lean tissues using three-point Dixon MR imaging.

    abstract:BACKGROUND:It has been suggested that increased hepatic and intramuscular fat is associated with insulin resistance, and that increased pancreatic fat is related to impaired insulin secretion. OBJECTIVE:We postulated that in obese nondiabetic teenagers insulin levels would be directly related to increases in intramusc...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-005-1413-y

    authors: Kovanlikaya A,Mittelman SD,Ward A,Geffner ME,Dorey F,Gilsanz V

    更新日期:2005-06-01 00:00:00