Percutaneous two unilateral iliosacral S1 screw fixation for pelvic ring injuries: a retrospective review of 38 patients
Purpose Percutaneous iliosacral (IS) screw fixation for pelvic ring injuries is a minimally invasive technique that reduces the amount of blood loss and shortens the procedure time. Moreover, two unilateral IS S1 screws exhibit superior stability to a single IS screw and are also safer for neurologi...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2022-03-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2021-0075.pdf |
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| author | Whee Sung Son Jae-Woo Cho Nam-Ryeol Kim Jun-Min Cho Nak-Jun Choi Jong-Keon Oh HanJu Kim |
| author_facet | Whee Sung Son Jae-Woo Cho Nam-Ryeol Kim Jun-Min Cho Nak-Jun Choi Jong-Keon Oh HanJu Kim |
| author_sort | Whee Sung Son |
| collection | DOAJ |
| description | Purpose Percutaneous iliosacral (IS) screw fixation for pelvic ring injuries is a minimally invasive technique that reduces the amount of blood loss and shortens the procedure time. Moreover, two unilateral IS S1 screws exhibit superior stability to a single IS screw and are also safer for neurological injuries than an S2 screw. Therefore, this study aimed to evaluate fixation using percutaneous two unilateral IS S1 screws for pelvic ring injuries and its subsequent clinical outcomes. Methods We retrospectively reviewed 38 patients who underwent percutaneous two unilateral IS S1 screw fixation for pelvic ring injuries. The procedure time, blood loss, achievement of bone union, radiological outcomes (Matta and Tornetta grade), and postoperative complications were evaluated. Results The mean procedure time, hemoglobin loss, bone union rate, and time to union were 40.1 minutes (range, 18–102 minutes), 0.6 g/dL (range, 0.3–1.0 g/dL), 100%, and 153.2 days (range, 61–327 days), respectively. The Matta and Tornetta grades were excellent, good, and fair in 24 (63.1%), 11 (28.9%), and three patients (7.9%), respectively, and the postoperative complications were S1 screw loosening, widening of the symphysis pubis (2.3 and 2.5 mm), lumbosacral plexopathy, and S1 radiculopathy in one (2.6%), two (5.3%), one (2.6%), and one patient (2.6%), respectively. However, all neurological complications recovered spontaneously. Conclusions Percutaneous two unilateral IS S1 screw fixation was useful for treating pelvic ring injuries. In particular, it involved a short procedure time with little blood loss and also led to 100% bone union and good radiological outcomes. |
| format | Article |
| id | doaj-art-01589c27a8b84f8a99c7aeb68f148c09 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2022-03-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-01589c27a8b84f8a99c7aeb68f148c092025-01-16T04:51:03ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-03-01351344210.20408/jti.2021.00751098Percutaneous two unilateral iliosacral S1 screw fixation for pelvic ring injuries: a retrospective review of 38 patientsWhee Sung Son0Jae-Woo Cho1Nam-Ryeol Kim2Jun-Min Cho3Nak-Jun Choi4Jong-Keon Oh5HanJu Kim6 Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, Korea Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, Korea Department of General Surgery, Korea University Guro Hospital, Seoul, Korea Department of General Surgery, Korea University Guro Hospital, Seoul, Korea Department of General Surgery, Korea University Guro Hospital, Seoul, Korea Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, Korea Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, KoreaPurpose Percutaneous iliosacral (IS) screw fixation for pelvic ring injuries is a minimally invasive technique that reduces the amount of blood loss and shortens the procedure time. Moreover, two unilateral IS S1 screws exhibit superior stability to a single IS screw and are also safer for neurological injuries than an S2 screw. Therefore, this study aimed to evaluate fixation using percutaneous two unilateral IS S1 screws for pelvic ring injuries and its subsequent clinical outcomes. Methods We retrospectively reviewed 38 patients who underwent percutaneous two unilateral IS S1 screw fixation for pelvic ring injuries. The procedure time, blood loss, achievement of bone union, radiological outcomes (Matta and Tornetta grade), and postoperative complications were evaluated. Results The mean procedure time, hemoglobin loss, bone union rate, and time to union were 40.1 minutes (range, 18–102 minutes), 0.6 g/dL (range, 0.3–1.0 g/dL), 100%, and 153.2 days (range, 61–327 days), respectively. The Matta and Tornetta grades were excellent, good, and fair in 24 (63.1%), 11 (28.9%), and three patients (7.9%), respectively, and the postoperative complications were S1 screw loosening, widening of the symphysis pubis (2.3 and 2.5 mm), lumbosacral plexopathy, and S1 radiculopathy in one (2.6%), two (5.3%), one (2.6%), and one patient (2.6%), respectively. However, all neurological complications recovered spontaneously. Conclusions Percutaneous two unilateral IS S1 screw fixation was useful for treating pelvic ring injuries. In particular, it involved a short procedure time with little blood loss and also led to 100% bone union and good radiological outcomes.http://jtraumainj.org/upload/pdf/jti-2021-0075.pdfpelvic bonesfracture fixationminimally invasive surgical proceduresbone screws |
| spellingShingle | Whee Sung Son Jae-Woo Cho Nam-Ryeol Kim Jun-Min Cho Nak-Jun Choi Jong-Keon Oh HanJu Kim Percutaneous two unilateral iliosacral S1 screw fixation for pelvic ring injuries: a retrospective review of 38 patients Journal of Trauma and Injury pelvic bones fracture fixation minimally invasive surgical procedures bone screws |
| title | Percutaneous two unilateral iliosacral S1 screw fixation for pelvic ring injuries: a retrospective review of 38 patients |
| title_full | Percutaneous two unilateral iliosacral S1 screw fixation for pelvic ring injuries: a retrospective review of 38 patients |
| title_fullStr | Percutaneous two unilateral iliosacral S1 screw fixation for pelvic ring injuries: a retrospective review of 38 patients |
| title_full_unstemmed | Percutaneous two unilateral iliosacral S1 screw fixation for pelvic ring injuries: a retrospective review of 38 patients |
| title_short | Percutaneous two unilateral iliosacral S1 screw fixation for pelvic ring injuries: a retrospective review of 38 patients |
| title_sort | percutaneous two unilateral iliosacral s1 screw fixation for pelvic ring injuries a retrospective review of 38 patients |
| topic | pelvic bones fracture fixation minimally invasive surgical procedures bone screws |
| url | http://jtraumainj.org/upload/pdf/jti-2021-0075.pdf |
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