Percutaneous Iliosacral screw fixation for sacroiliac disruption or sacral fractures: A prospective study
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 7
Abstract
Background: High energy pelvic ring fractures are serious injuries resulting from motor vehicle accidents or fall from height. Unstable pelvic ring injuries are usually associated with sacroiliac disruptions or sacral fractures. The ideal treatment for unstable pelvic fractures remains a debate. Percutaneous fixation of sacroiliac joint disruption or sacral fractures has evolved recently as a minimal invasive technique with low complication rate and morbidities. Objective: A preliminary study to evaluate prospectively the effectiveness of the percutaneous cannulated screws fixation of posterior pelvic ring injuries in unstable fractures. Methods: 8 patients who had unstable pelvic ring injuries associated with other skeletal, neural or vascular injuries and treated by gradual closed reduction and percutaneous fixation using 6.5 mm cannulated cancellous partially threaded screws were included in the study. Study was done at VM Government Medical College, Solapur. Data regarding the blood loss, duration of procedure, intra operative and post operative complications and post operative rehabilitation was collected and analyzed. Results: Mean age of patients was 32 years (range from 20 – 52 years). 5 patients were males and 3 were females. A total of 10 percutaneous screws were inserted for the 8 patients. The duration of surgical procedure was 30 to 60 minutes including the preparation time .Wound size was 5 mm – 10 mm, Blood loss was negligible, no anaesthetic complication, no intra operative or post operative complications, no wound complications and a very good post operative rehabilitation was noted. Post operative X-rays and CT scans show no complications and a very good reduction and fixation for sacroiliac joints and sacral fractures. Conclusions: Closed reduction and percutaneous sacroiliac cannulated screw fixation was found to be a very good minimally invasive technique. There were no intra – operative or post-operative complications in the observed patients.
Authors and Affiliations
Sunil Handralmath, Preetish Endigeri, Prashant D’sa
Keywords
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