“A prospective study of Minimally Invasive Percutaneous screw fixation for sacral fractures and sacro iliac joint injuries”

Author(s): Dr. TH Prakashappa, Dr. Bharath Raja BS, Dr. Appasab Jaipal Murugunde and Dr. Yogananda Gali Hanumaih

Abstract: Objectives: Pelvic ring fractures usually associated with poly trauma and management of this is a challenging situation where mobilization is a goal for early rehabilitation. Materials and Methods: A study is conducted in our institute involving 20 patients who were admitted following poly trauma with associated sacral fractures and sacroiliac joint disruption. Denis & Weber classification for sacral fractures, and Tile/ Young and Burgess Classification for sacroiliac joint disruption were used. We have performed minimally Invasive Percutaneous screw fixation for sacral fractures & sacro iliac joint injuries and achieved good functional outcome. Results: There were 20 patients with sacral and sacroiliac injuries. The mean followup period of 6weeks, 10 weeks, 16 weeks and 24 weeks was assessed with Majeed score of 89% effectiveness. Discussion: Pelvic ring fractures which require operative stabilization remain a challenge to the orthopaedic surgeon because of the technical difficulty. The use of sacroiliac screw fixation for sacral and sacroiliac joint injuries is an elegant method of stabilization, but complications may arise because of poor visualization or understanding of the posterior pelvic anatomy. Conclusion: Even though minimally invasive percutaneous sacroiliac screw fixation is one of the modalities of treatment for sacral and sacroiliac joint injuries, it stands as the best modality of treatment in patients with poly trauma to achieve good fixation and early rehabilitation.

DOI: https://doi.org/10.22271/ortho.2021.v7.i1l.2569