Comparison between posterior sacral plate stabilization versus minimally invasive transiliac-transsacral lag-screw fixation in fractures of sacrum: a single-centre experience

Liuzza, Francesco; Silluzio, Noemi; Florio, Michela; Ezzo, Omar El; Cazzato, G.; Ciolli, Gianluca; Perisano, Carlo; Maccauro, Giulio

doi:10.1007/s00264-018-4144-z

Cited by 31 publications

(22 citation statements)

References 20 publications

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“…Surgical treatment is needed in all cases of instability and/or deformity of the pelvic ring and many techniques exist for both open and closed reductions, but the main issue remains achieving anatomic restoration of the pelvis [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

“…Nonoperative patients should be followed for at least one year to determine the outcome and maintenance of the reduction. Weight bearing is usually gradually allowed using crutches or a walker after a variable period of bed rest [42] Surgical treatment is needed in all cases of instability and/ or deformity of the pelvic ring and many techniques exist for both open and closed reductions, but the main issue remains achieving anatomic restoration of the pelvis [43].…”

Section: Treatment and Complications Of Pelvic Ring Injuriesmentioning

confidence: 99%

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Epidemiology and aetiology of male and female sexual dysfunctions related to pelvic ring injuries: a systematic review

Rovere

Perna

Meccariello³

et al. 2021

International Orthopaedics (SICOT)

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Introduction Pelvic ring injuries, frequently caused by high energy trauma, are associated with high rates of morbidity and mortality (5–33%), often due to significant blood loss and disruption of the lumbosacral plexus, genitourinary system, and gastrointestinal system. The aim of the present study is to perform a systematic literature review on male and female sexual dysfunctions related to traumatic lesions of the pelvic ring. Methods Scopus, Cochrane Library MEDLINE via PubMed, and Embase were searched using the keywords: “Pelvic fracture,” “Pelvic Ring Fracture,” “Pelvic Ring Trauma,” “Pelvic Ring injury,” “Sexual dysfunction,” “Erectile dysfunction,” “dyspareunia,” and their MeSH terms in any possible combination. The following questions were formulated according to the PICO (population (P), intervention (I), comparison (C), and outcome (O)) scheme: Do patients suffering from pelvic fracture (P) report worse clinical outcomes (C), in terms of sexual function (O), when urological injury occurs (I)? Is the sexual function (O) influenced by the type of fracture (I)? Results After screening 268 articles by title and abstract, 77 were considered eligible for the full-text analysis. Finally 17 studies that met inclusion criteria were included in the review. Overall, 1364 patients (902 males and 462 females, M/F ratio: 1.9) suffering from pelvic fractures were collected. Discussion Pelvic fractures represent challenging entities, often concomitant with systemic injuries and subsequent morbidity. Anatomical consideration, etiology, correlation between sexual dysfunction and genitourinary lesions, or pelvic fracture type were investigated. Conclusion There are evidences in the literature that the gravity and frequency of SD are related with the pelvic ring fracture type. In fact, patients with APC, VS (according Young-Burgess), or C (according Tile) fracture pattern reported higher incidence and gravity of SD. Only a week association could be found between GUI and incidence and gravity of SD, and relationship between surgical treatment and SD. Electrophysiological tests should be routinely used in patient suffering from SD after pelvic ring injuries.

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Section: Discussionmentioning

confidence: 99%

Section: Treatment and Complications Of Pelvic Ring Injuriesmentioning

confidence: 99%

Epidemiology and aetiology of male and female sexual dysfunctions related to pelvic ring injuries: a systematic review

Rovere

Perna

Meccariello³

et al. 2021

International Orthopaedics (SICOT)

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“…Another biomechanical study using a hard plastic pelvic bone model reported a larger displacement with the IS screw xation technique than with the posterior tension band plating 22 . Clinical studies have also demonstrated a higher failure rate of IS screw xation than the plate technique 12,23,24 . As this study showed, we recommend posterior plating in patients with vertically displaced bilateral sacral fractures or in those requiring more rigid xation, particularly individuals with vertically displaced sacral fractures.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous posterior transiliac plate versus iliosacral screw fixation for posterior fixation of Tile C-type pelvic fractures

Kim

Kim²,

Kim

2021

Preprint

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Background: This study aimed to compare the clinical outcomes and complications between two minimally invasive surgical techniques: percutaneous transiliac plate fixation and iliosacral (IS) screw fixation for the treatment of Tile C-type pelvic bone fractures.Materials and Methods: We retrospectively reviewed the data of 77 consecutive patients with Tile C pelvic ring injuries who underwent either percutaneous transiliac plate fixation or IS screw fixation in a single academic center between November 2007 and January 2018. Posterior plating was indicated for those with sacral dysmorphism or bilateral sacral fractures, including spinopelvic dissociation. We recorded patients’ demographics, surgery-related data, and postoperative surgical outcomes and compared the incidence of complications and revision surgery rates between the two groups.Results: Overall, 14 patients were included in the plate group, while 63 were included in the IS screw fixation group. No significant differences were observed in the patients’ demographics between the two groups except for a longer interval from injury to surgery (13.5 days vs. 5.4 days, P = 0.001). Both groups acquired fracture union in all cases. There was one case of infection requiring surgical debridement in the plating group. Notably, nerve injury (n = 3) and implant loosening (n = 5) occurred in the IS screw group, but the difference was not significant.Conclusions: Both percutaneous posterior transiliac plating and IS screw fixation in patients with Tile C-type pelvic bone fractures showed good results. We recommend IS screw fixation as the primary treatment and propose posterior plating as treatment for sacral dysmorphism and bilateral sacral alar fractures in patients with spinopelvic dissociation.

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“…Also, the treatment of spinal fractures shows many hidden dangers. The important thing is to know the right indications to choose the best solution, both in thoraco-lumbar fractures [21] and in sacral fractures, because the sacrum is a mechanical nucleus working as the base for the spinal column, as well as the keystone of the pelvic ring [22].…”

Section: Spinementioning

confidence: 99%

The history of Italian Orthopaedics

Papalia

Falez

2018

International Orthopaedics (SICOT)

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Comparison between posterior sacral plate stabilization versus minimally invasive transiliac-transsacral lag-screw fixation in fractures of sacrum: a single-centre experience

Abstract: In this study, we evaluate the differences, in the treatment of sacral fractures, between the two techniques, revising the literature and our experience.

Cited by 31 publications

References 20 publications

Epidemiology and aetiology of male and female sexual dysfunctions related to pelvic ring injuries: a systematic review

Epidemiology and aetiology of male and female sexual dysfunctions related to pelvic ring injuries: a systematic review

Percutaneous posterior transiliac plate versus iliosacral screw fixation for posterior fixation of Tile C-type pelvic fractures

The history of Italian Orthopaedics

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