Journal of Clinical & Experimental Orthopaedics

Outcome of Percutaneous Iliosacral Screw Fixation in Posterior Pelvic Injuries

Background: Although the sacrum is an integral part to the biomechanics and has neurologic protective roles of the spinal column and the pelvis ring, its fractures have been relatively overlooked in the concern of spine trauma, leading to inadequate treatment and possible neurological damage.

Aim: The aim of the work is to report the radiographic and clinical results after the percutaneuos iliosacral screw fixation of posterior pelvic injuries in 30 patients.

Methods: Within the timeline from November 2012 to January 2018, 30 patients with pelvic injury were operated upon inside or outside El-Hadara University Hospital, Alexandria. Per the protocol of the study, patients have fulfilled the following inclusion and exclusion criteria.

Results: The mean postoperative Majeed score for the patients in the undisplaced fracture of posterior sacral cortex group was 102.8 ± 7.26, that for the patients in the displaced fracture of posterior sacral cortex group was 95.50 ± 9.33 and those in comminuted fracture of posterior sacral cortex group have the mean score of 79.17 ± 5.23.

Conclusion: Iliosacral screw fixation remains as effective methods for the treatment of completely unstable pelvic injuries.

Author(s): Khaled MK Moustafa*, Abdullah S Hammad and Mohamed A Hafez

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