Iliosacral screw complications

Routt, Milton L; Simonian, Peter T.; Inaba, Jayne

doi:10.1016/s1048-6666(97)80060-2

Cited by 29 publications

(21 citation statements)

References 16 publications

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“…16,17 However, inadequate space may exist for optimum screw placement of two iliosacral screws. 13,14,18 Recommended alternatives include plating techniques, S2 iliosacral screws, and transiliac bars, both for primary fixation and as the second point of a posterior fixation construct. 11 It was the authors' supposition that the application of transiliac bars for these purposes could be substantially furthered through modest changes in surgical technique, implant design, and instrumentation.…”

Section: Discussionmentioning

confidence: 99%

“…Reduction of the displaced posterior ring injury was accomplished using previously described techniques. 9,13,14 Quality of reduction was assessed intraoperatively using the criteria described by Matta and Tornetta. 8 Using this method, reductions were graded using the maximal displacement measured on the three standard radiographic views of the pelvis.…”

Section: Surgical Techniquementioning

confidence: 99%

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Percutaneous Transiliac Pelvic Fracture Fixation: Cadaver Feasibility Study and Preliminary Clinical Results

Moed

Fissel

Jasey

2007

Journal of Trauma: Injury, Infection &Amp; Critical Care

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Section: Discussionmentioning

confidence: 99%

Section: Surgical Techniquementioning

confidence: 99%

Percutaneous Transiliac Pelvic Fracture Fixation: Cadaver Feasibility Study and Preliminary Clinical Results

Moed

Fissel

Jasey

2007

Journal of Trauma: Injury, Infection &Amp; Critical Care

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“…Percutaneous iliosacral screw insertion would be a good choice for this, but the commonly used conventional 6.5-and 7.3-mm screws have some well-known disadvantages and complications (like screw bending, breakage or loosening) [31]. In order to provide enough pelvic stability, two ordinary screws must be inserted into the first, or the first and the second, vertebral bodies.…”

Section: Urgent Posterior Stabilization With Percutaneous Iliosacral mentioning

confidence: 99%

Severe Pelvic Bleeding: The Role of Primary Internal Fixation

Barootchi

Erdohelyi

2010

Eur J Trauma

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Pelvic ring injuries form part of the spectrum of polytraumaandmust be considered a potentially lethal injury with mortality rates of 10-20%. The stabilization of the unstable pelvic ring in acute resuscitation of multiply injured patients is now conventional wisdom.We aimed: (1) to design a new iliosacral (IS) screw, (2) to prove the clinical advantages of this new implant, and (3) to work out the optimal surgical strategy using this implant. Taking the demands of the above mentioned data into account, a 10 mm 2.8 mm-cannulated iliosacral screw seemed to be optimal for the special requirements. Before industrial production, finite element analysis (FEA) was performed to find out whether these screws would be enough to stabilize the posterior pelvic ring alone or not. Clinical experience led to the modification of the set of instruments, which finally yielded handy tools and implants. Building further on the surgical skills and experiences gained (by the surgeons and the O.R. personnel), we increased our capacity to perform more and more immediate pelvic fixations. Emergency pelvic stabilizationswere performed in patientswith pelvic injuries who had hemodynamic instability, despite immediate shockmanagement during the diagnostic period. During thelast eleven years, 244 patientswith Tile B3 and Cpelvic injuries have been stabilized with 10-mm diameter cannulated IS screws percutaneously posteriorly. Fortyeight hemodynamically unstable patientswere stabilized in the first 2 h with iliosacral screw fixation. The percutaneous pelvic ring stabilization with 10-mm cannulated screws provedstrongenoughin bothersome casesaswell.

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“…7,8 However, size limitations may preclude the insertion of any screws into the normal S2 body or more than one screw into a normal S1 body. [7][8][9][10][11] Furthermore, space for the insertion of screws into the S1 body may be limited if the shape of the sacrum is a variant of normal (sacral dysmorphism). [8][9][10] In association with sacral dysmorphism, the safe zone of S2, although enlarged, nonetheless is limited to accommodate no more than one screw.…”

Section: Introductionmentioning

confidence: 99%

“…[7][8][9][10][11] Furthermore, space for the insertion of screws into the S1 body may be limited if the shape of the sacrum is a variant of normal (sacral dysmorphism). [8][9][10] In association with sacral dysmorphism, the safe zone of S2, although enlarged, nonetheless is limited to accommodate no more than one screw. 7,8 Injuries to the posterior pelvic ring requiring bilateral internal fixation create a situation in which the patient's bony morphology often precludes the optimum iliosacral screw construct.…”

Section: Introductionmentioning

confidence: 99%