Osteology of the ilium revised: illuminating the clinical relevance.

Document Type

Article

Publication Date

9-4-2020

Publication Title

Eur J Trauma Emerg Surg

Abstract

BACKGROUND: Several studies on anterior and posterior pelvic ring fixation have identified a fragile monocortical area located at the iliac wing. However, there are no current studies regarding this structure's dimensions and relation to known anatomic structures.

METHODS: Eleven human ilia were dissected from 6 specimens. After debulking soft tissue, photoluminescence was used to indicate the fragile area. The size and thickness of the iliac wing were determined and mapped in relation to the anterior superior iliac spine (ASIS) and the posterior superior iliac spine (PSIS).

RESULTS: This photoluminescent unicortical area measured 15.57 cm

CONCLUSION: This study provides useful anatomical information regarding a thin unicortical area at the iliac wing that is relevant to anterior and posterior pelvic ring fixation and the potential complications that can arise from iatrogenic perforation of this area.

Clinical Institute

Neurosciences (Brain & Spine)

Department

Neurosciences

Department

Emergency Medicine

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