Management of Posterior Pelvic Ring Disruption by Percutaneous Iliosacral Screw: Meta-analysis

Authors

1 Department of Orthopedic Surgery, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt.

2 Department of Orthopedic Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

Abstract

Background: Pelvic fractures can be treated with less intrusive technique of percutaneous ilio-sacral fixation. Additionally, to a high fusion rate, it is also efficient at relieving discomfort. A steep learning curve is required. A rigid fastening is required, and a single screw is not enough to prevent hardware failure. Aim and objectives: evaluation management of Posterior pelvic ring disruption via minimally invasive iliosacral screw in different studied literatures in the last decade. Subjects and methods: The current study included 11 papers from 2010 to 2021. There were 10 retrospective and one prospective study. The present study included 469 patients. Results: Follow up duration mean ranged from 6 to 96 months. Significance level showed significant variation as regard rate of satisfactory reduction. Significance level showed no significant distinction as regard neurovascular complications and rate of reoperation. Conclusion: We find that posterior pelvic & sacral fractures treated with percutaneous screws have an excellent long-term functional outcome and are well-suited for this form of treatment, and that it can be performed urgently because of its short duration and lack of need for massive blood loss or transfusion.

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