Use of two C-arms for screw fixation in sacral trauma stabilization

• Autor(a) principal: Matos, Daniel
• Data de Publicação: 2021
• Outros Autores: Solano, Carla, Pinto, Alda
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.46885/roentgen.v2i1.27
• topic: Sacrum fractures; C-arm equipments; Screw fixing; Fraturas do sacro; Equipamentos arco em C; Fixação com parafusos

The use of fluoroscopy equipment - Arc C, by radiology technicians and the interaction with different surgical specialties is an area in expansion and with particularities aligned to the various surgical techniques. The number of equipment, human resources and needs are not always compatible. A technical-radiological case is described of the "use of two C-arms in screw fixation in the stabilization of sacral trauma" and two radiology technicians. The fractures of the sacrum are varied and the option for surgery is in accordance with the type of fracture. The option when it is surgical requires the use of fluoroscopy, usually only one C-arm is chosen, due to the scarcity of equipment and human resources. In this case, two C-arms of the same brand and model were used, a technique already described in the literature, and two radiology technicians.The specificities and positioning of the C-arms, the computed tomography (CT) fracture visualization, the respective inclinations of radiological incidences, the positioning of orthopedic surgeons result in the greater or lesser success of the surgery. Also the synchronization of the two technicians and the technical specificities allow some differentiating result. The choice and adjustment of this solution resulted in a good surgical time, a good set of synchronized imagiological views and at the same time the two incidences, making the radiological practices and the allied C-arms indispensable in the success of the surgery, and confirming that more equipment and more human resources allocated to these procedures are an option to consider.