Management Of Sacral And Sacroiliac Joint Fractures By Percutaneous Screws

Abstract

Pelvic ring fractures are serious injuries which have been functionally determined by reduction quality; the objective of this research is to assess the effect of percutaneous fixation of the screw in the treatment of sacred fractures and sacroiliac joint damage. The research included 20 patients with sacral fractures and sacroilia joint injuries, with an average age of 32. Every single xray anteroposterior (AP), inlet and outlet views in the pelvis were radiologically evaluated for all patients. At the conclusion of the follow-up period, the outcomes were evaluated both clinically and radiologically. Overall Majeed outcomes were (clinically) judged to be acceptable among 16 (80%) patients; eight (40%) were excellent and eight (40%) were good and only 4 (20%) were unsatisfactory; 3 (15%) were fair and 1 (5%) were bad; Percutaneous sacroiliac pelvic fracture fixation has less damage, less bleeding, fast recovery, safe and effective minimally invasive operation technique. Percutaneous iliosacral vibrators are very demanding methods of placing highly scalable malpositions that are potentially associated with the risk of neurological damage or inadequate stability.

Is a Washer a Mandatory Component in Young Trauma Patients with S1-S2 Iliosacral Screw Fixation of Posterior Pelvis Ring Injuries? A Biomechanical Study

“…Yet, there is little data on over-compression of the SI joints in the literature. Most authors merely describe that this should be avoided [ 32 , 33 , 34 ]. It has further been reported as a disadvantage that fixation of posterior SI joint dislocations with transiliac sacral bars, including over-compression of the ilium, may lead to damage to the sacral nerves [ 35 ].…”

“…It has further been reported as a disadvantage that fixation of posterior SI joint dislocations with transiliac sacral bars, including over-compression of the ilium, may lead to damage to the sacral nerves [ 35 ]. A different study regarding this topic recommends cannulated 7.3 mm partially threaded screws with a washer, however, fully threaded washerless screws may be preferred to avoid over-compression of a sacral fracture in case of comminution [ 34 ].…”