Percutaneous screw fixation for sacral & sacro iliac joint injuries: Case series

Abstract

Introduction: Management of poly trauma patients with pelvic ring injuries is a challenging situation where mobilization is a goal for early rehabilitation. Sacral fractures and sacroiliac joint injuries need to be addressed in these patients for starting early mobilization and rehabilitation and to achieve successful outcome. Materials and methods: A prospective study was conducted in our department involving 11 patients who were admitted following poly trauma with associated sacral and sacroiliac joint injuries. Denis & Weber classification for sacral fractures, and Tile/ Young and Burgess Class ification for SI joint disruption were used. We have performed percutaneous iliosacral screw fixation and achieved good functional outcome in these patients. Discussion: Thorough knowledge about anatomy of lumbopelvic junction and special radiographic views is mandatory. Prior reduction of the injuries involving sacrum and sacroiliac joint is mandatory before percutaneous fixation. Preoperative evaluation regarding neurological status and sacral dysplasia is the key for a successful outcome. Conclusion: With clearcut indications and contraindications, percutaneous iliosacral screw fixation appears to be one of the best techniques to achieve good fixation and early rehabilitation