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Abstract

Background: Pelvic ring injuries are complex surgical challenges requiring significant radiation exposure for safe placement of sacroiliac (SI) screw fixation. Traditionally, SI fixation has been performed with conventional C-arm fluoroscopy to guide screw placement. 3D navigated imaging is a technique that uses fluoroscopic scans and a navigation tracker to guide screws in space. The purpose of this study is to characterize a single institution’s experience with navigated SI fixation and the resulting radiation exposure to patient and staff. Methods: Records of 60 patients who underwent SI fixation using either conventional fluoroscopy (43) or 3D navigation (17) were reviewed. Exposure data (radiation time, radiation dose, and surgical duration) were compared. The data were evaluated for correlations between the primary outcomes and patient factors (age and body mass index (BMI)). Results: Radiation time per screw was significantly less in the 3D navigation group (19.5 seconds vs 39.2 seconds, P

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