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  • Title: [Utility of 3D computed tomography for the surgical planning of pelvic fractures].
    Author: Pérez RM, Chana FR, Vaquero JM.
    Journal: Acta Ortop Mex; 2010; 24(5):306-11. PubMed ID: 21246801.
    Abstract:
    BACKGROUND: To determine the utility of 3D computed tomography for the preoperative planning of pelvic rim fractures assessing possible changes in fracture classification as well as in the surgical indication itself. METHODS: We retrospectively reviewed patients who had undergone surgery for complex pelvic fractures during a 15-month period. The mechanism of injury was recorded and the availability of a multi-slice spiral volumetric CT scan was requested as a preoperative study. RESULTS: Ten cases (58%) were pelvic rim fractures and 7 were acetabular fractures. The mean ISS was 23.82 (9-50), and 82.3% of cases were severe traumas (ISS > 16). After the CT scan was obtained, the initial classification of the fracture was changed in four cases (23.5%), without any changes in the surgical indication. An artifact was detected in the volumetric reconstruction but it did not limit the surgeon's interpretation. CONCLUSION: Tridimensional CT-based modeling is very helpful in the surgical planning of pelvic fractures and is a complement of the plain X-rays.
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