Osteology of the ilium revised: illuminating the clinical relevance.

Publication Title

Eur J Trauma Emerg Surg

Authors

Alexander von Glinski, Swedish Neuroscience Institute, Swedish Medical CenterFollow
Sven Frieler, Swedish Medical Center, Swedish Neuroscience Institute, Seattle, WA, United StatesFollow
Emre Yilmaz, Swedish Medical Center, Swedish Neuroscience InstituteFollow
Basem Ishak, Swedish Neuroscience Institute, Swedish Medical Center, Seattle, WA, USAFollow
Ryan Goodmanson, Swedish Neuroscience Institute, Swedish Medical Center, Seattle, WashingtonFollow
Joe Iwanaga
Thomas A Schildhauer
Jens R Chapman, Swedish Neuroscience InstituteFollow
Rod J Oskouian, Swedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USAFollow
Keith Mayo
R Shane Tubbs, Swedish Neuroscience Institute, Swedish Medical Center, Seattle, WA, USA.

Document Type

Article

Publication Date

9-4-2020

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)

Specialty/Research Institute

Neurosciences

Specialty/Research Institute

Emergency Medicine