Spinopelvic Fixation of Sacroiliac Joint Fractures and Fracture-Dislocations: A Clinical ۸ Years Follow-Up Study

Publish Year: 1395
نوع سند: مقاله ژورنالی
زبان: English
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JR_TABO-4-4_017

تاریخ نمایه سازی: 9 شهریور 1400

Abstract:

  Background: Pelvic ring injuries and sacroiliac dislocations have significant impacts on patient’s quality of life. Several techniques have been described for posterior pelvic fixation. The current study has been designed to evaluate the spinopelvic method of fixation for sacroiliac fractures and fracture-dislocations.   Methods: Between January ۲۰۰۶ and December ۲۰۱۴, ۱۴ patients with sacroiliac joint fractures, dislocation and fracture-dislocation were treated by Spinopelvic fixation at Shahid Sadoughi Training Hospital, Yazd, Iran. Patients were seen in follow up, on average, out to ۳۲ months after surgery. Computed tomographic (CT) scans of patients with sacral fractures were reviewed to determine the presence of injuries. A functional assessment of the patients was performed using Majeed’s score. Patient demographics, reduction quality, loss of fixation, outcomes and complications, return to activity, and screw hardware characteristics are described Results: The injury was unilateral in ۱۱ (۷۸.۵%) patients and bilateral in ۳ (۲۱.۵%). Associated injuries were present in all patients, including fractures, dislocation and abdominal injuries. Lower limb length discrepancy was less than ۱۰ mm in all patients except two. Displacement, as a measure of quality of reduction was less than ۵ mm in ۱۳ patients. The mean Majeed score was ۷۸/۱۰۰. Wound infection and hardware failure were observed in ۳ (۲۱.۴%) and ۱ (۷.۱%) cases, respectively. In this study most patients (۸۵%) return to work postoperatively. Conclusion: According to the findings, spinopelvic fixation is a safe and effective technique for treatment of sacroiliac injuries. This method can obtain early partial to full weight bearing and possibly reduce the complications.

Authors

Mohammad R. Sobhan

Shahid Sadoughi University of Medical Sciences, Shahid Sadoughi Hospital, Yazd, Iran

Seyed Mohammad J. Abrisham

Shahid Sadoughi University of Medical Sciences, Shahid Sadoughi Hospital, Yazd, Iran

Mahmood Vakili

School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Saeed Shirdel

Yazd University of Medical Sciences, Shahid Sadoughi Hospital, Yazd, Iran

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  • Ayoub MA. Displaced spinopelvic dissociation withsacral cauda equina syndrome: outcome ...
  • Yi C, Hak DJ. Traumatic spinopelvic dissociation orU-shaped sacral fracture: ...
  • Injury. ۲۰۱۲; ۴۳(۴):۴۰۲-۸ ...
  • Bederman SS, Hassan JM, Shah KN, Kiester PD, BhatiaNN, Zamorano ...
  • Zehtab M, Siavoshi B, Sadat MM, SadrosadatH. Evaluation of unstable ...
  • Iran J Surg. ۲۰۰۶; ۱۴(۴):۱-۸ ...
  • Hoffmann E, Lenoir T, Morel E, Levassor N, RillardonL, Guigui ...
  • Bijlsma TS, Van der Werken C, Fernandez Dell’Oca A ...
  • Transperitoneal screw fixation of the sacroiliac joint. JTrauma. ۲۰۰۰; ۴۹(۱):۱۵۲-۵ ...
  • Simpson LA, Waddell JP, Leighton RK, Kellam JF, Tile M ...
  • Anterior approach and stabilization of the disruptedsacroiliac joint. J Trauma. ...
  • Kabak S, Halici M, Tuncel M, Avsarogullari L, BaktirA, Basturk ...
  • Dabezies EJ, Millet CW, Murphy CP, Acker JH,Robicheaux RE, D’Ambrosia ...
  • Sar C, Kilicoglu O. S۱ pediculoiliac screw fixation ininstabilities of ...
  • ۲۰۰۳; ۱۷(۴):۲۶۲-۷۰ ...
  • Letournel E. Surgical fixation of displaced pelvicfractures and dislocations of ...
  • Rev Chir Orthop Reparatrice Appar Mot. ۱۹۸۱;۶۷(۸):۷۷۱-۸۲ ...
  • Starr AJ, Walter JC, Harris RW, Reinert CM, Jones AL ...
  • Percutaneous screw fixation of fractures of the iliacwing and fracture-dislocations ...
  • Abumi K, Saita M, Iida T, Kaneda K. Reductionand fixation ...
  • Vasiliadis E, Polyzois VD, Grivas TB, Koinis A,Malakasis M, Beltsios ...
  • Orthop Proc. ۲۰۰۶; ۸۸(Suppl I):۱۶۰ ...
  • Canale ST, Beaty JH. Campbell’s operativeorthopedics. ۱۲th ed. Philadelphia, PA: ...
  • Majeed SA. Grading the outcome of pelvic fractures. JBone Joint ...
  • Saigal R, Lau D, Wadhwa R, Le H, Khashan M, ...
  • Kuklo TR, Bridwell KH, Lewis SJ, Baldus C, BlankeK, Iffrig ...
  • Fridley J, Fahim D, Navarro J, Wolinsky JP, Omeis I ...
  • Free-hand placement of iliac screws for spinopelvicfixation based on anatomical ...
  • Lindahl J, Mäkinen TJ, Koskinen SK, Söderlund T ...
  • Factors associated with outcome of spinopelvicdissociation treated with lumbopelvic fixation ...
  • Injury. ۲۰۱۴; ۴۵(۱۲):۱۹۱۴-۲۰ ...
  • Jones CB, Sietsema DL, Hoffmann MF. Can lumbopelvicfixation salvage unstable ...
  • Gibbons KJ, Soloniuk DS, Razack N. Neurologicalinjury and patterns of ...
  • ۱۹۹۰; ۷۲(۶):۸۸۹-۹۳ ...
  • Oh KJ, Hwang SM. Surgical fixation of sacroiliac jointcomplex in ...
  • ۲۰۱۲; ۲۴(۲):۱۳۹-۴۷ ...
  • Sagi HC, Militano U, Caron T, Lindvall E. Acomprehensive analysis ...
  • Zhu L, Wang L, Shen D, Ye TW, Zhao LY, ...
  • Treatment of pelvic fractures through a less invasiveilioinguinal approach combined ...
  • References ...
  • نمایش کامل مراجع