Iliosacral screw fixation of the posterior pelvic ring using local anaesthesia and computerised tomography

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Iliosacral screw fixation of the posterior pelvic ring using local anaesthesia and computerised tomography.

Various techniques have been used for the fixation of the posterior pelvis, each with disadvantages specific to the technique. In this study, a new protocol involving the placement of posterior pelvic screws in the CT suite is described and evaluated. A total of 66 patients with unstable pelvic ring injuries was stabilised under local anaesthesia with sedation. The mean length of time for the p...

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Intracanal Sacral Nerve Impingement Following Percutaneous Iliosacral Screw Pelvic Fixation

Percutaneous iliosacral screws are useful in treating vertical posterior pelvic fractures and iliosacral disruptions. Iliosacral screws are far less invasive than spinopelvic fixation, and result in much lower morbidity. However, safe placement of the iliosacral screws is technically difficult and highly dependent on fracture reduction and adequate fluoroscopy. Inaccurate placement can result i...

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Percutaneous iliosacral screw fixation in unstable pelvic fractures

Surgical treatment of unstable pelvic fractures Type C, has a vertical instability that is not controlled by traction and supine; therefore, orthopedic and functional treatments undertaken by default are sources of complications. The closed reduction with percutaneous sacroiliac fixation solves the problem of vertical instability; but at the cost of learning the method. Five patients with unsta...

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Outcome analysis of unstable posterior ring injury of the pelvis: comparison between percutaneous iliosacral screw fixation and conservative treatment.

BACKGROUND Unstable posterior ring injuries of the pelvis are a challenge to pelvic surgeons, and their treatment has been controversial. The functional outcomes of such injuries following either percutaneous iliosacral screw fixation or conservative treatment remain to be elucidated. METHODS We conducted a retrospective analysis of 32 consecutive patients with unstable pelvic ring injuries w...

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Measurement of Optimal Insertion Angle for Iliosacral Screw Fixation Using Three-Dimensional Computed Tomography Scans

BACKGROUND Percutaneous iliosacral screw fixation can provide stable fixation with a minimally invasive surgical technique for unstable posterior pelvic ring injuries. This surgical technique is not limited by cases of difficult fracture patterns, sacral dysplasia, and small sacral pedicles that can occur in Asians. The purpose of this study was to investigate the incidence of the sacral dyspla...

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ژورنال

عنوان ژورنال: The Journal of Bone and Joint Surgery. British volume

سال: 2003

ISSN: 0301-620X,2044-5377

DOI: 10.1302/0301-620x.85b3.13119