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A Case series of Percutaneous screw fixation for sacroiliac joint results and outcome

SHANMUGARAJA M

Abstract


Aim The aim of this study is to present clinical and radiological results of patients treated with closed reduction and percutaneous sacroiliac screw fixa ion for unstable pelvic ring fractures. METHODS A retrospective study of six patients who had undergone percutaneous sacroiliac fixation between 2014 and 2015 in our institution. RESULTS All patients had a satisfactory initial reduction. No cases of screw misplacement or neurological deficit were found. Patients were followed up for minimum of 6 months. Functional outcome was assessed using majeed pelvic scoring system. Four patients had            excellent and two patients had good outcome. One patient had associated facial injury which was treated conservatively. CONCLUSION The use of percutaneous sacroiliac screws provides a safe and effective technique for the management of unstable posterior pelvic ring injuries.

 


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References


Tile M. Pelvic ring fractures: Should they be fixed? J Bone Joint Surg 1988;70B:1-12.

Rommens P. Is there a role for percutaneous pelvic and acetabular reconstruction? Injury Int J Care Injured 2007; 38:463-77.

Schweitzer D, Zylberberg A, Co'rdova M, Gonzalez J. Closed reduction and iliosacral percutaneous fixation of unstable pelvic ring fractures. Injury Int J Care Injured 2008;39: 869-74.

Judet R, Judet J, Letournel E. Fractures of the acetabulum: classification and surgical approaches for open reduction: preliminary report. J Bone Joint Surg Am 1964;46-A:1615-46.

Giannoudis P, Tzioupis C, Pape H, Roberts C. Percutaneous fixation of the pelvic ring. J Bone Joint Surg Br 2007;89-B:145-54.

Routt M, Meier M, Kregor P. Percutaneous iliosacral screwswith the patient supine technique. Oper Techn Orthop 1993;3:35-45.

comstock CP , van der meulen MCH , Goodman SB. Biomechanical comparison of posterior internal fixation technique for unstable pelvic fracture J Orthop Trauma. 1996;10(8):517-522

Gorczyca JT , Varga E et al. The strength of iliosacral lag screws and trans iliac bars in the fixation of vertically unstable pelvic injuries with sacral fractures Injury.1996;27:561-564.

Krappinger D , Larndorfer R , Struve Pet al. Minimally invasive transiliac plate osteosynthesis for type C injuries of the pelvic ring: A clinical and radiological follow up. J Orthop Trauma. 2007;21:595- 602.

Shaw JA, Mino DE, Werner FW, et al. Posterior stabilization of pelvic fractures by use of threaded compression rods. Case reports and mechanical testing. Clin Orthop Relat Res 1985;192:240-254.

Gardner MJ , Prasad S , Routt MLC Jr. Internal rotation and taping of the lower extremities for closed pelvic reduction. J Orthop Trauma. 2009;23:361-364

Gardner MJ , Osgood G, Molnar R et al. Percutaneous pelvic fixation using working portals in a circumferential pelvic antishock sheet. J Orthop Trauma. 2009; 23:668-674.


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