Immediate percutaneous sacroiliac screw insertion for unstable pelvic fractures: is it safe enough?

A. Acker, Z. H. Perry, S. Blum, G. Shaked, A. Korngreen

    Research output: Contribution to journalArticlepeer-review

    10 Scopus citations

    Abstract

    Objectives: The purpose of this study was to compare the results of immediate and delayed percutaneous sacroiliac screws surgery for unstable pelvic fractures, regarding technical results and complication rate. Design: Retrospective study. Setting: The study was conducted at the Soroka University Medical center, Beer Sheva, Israel, which is a level 1 trauma Center. Patients: 108 patients with unstable pelvic injuries were operated by the orthopedic department at the Soroka University Medical Center between the years 1999–2010. A retrospective analysis found 50 patients with immediate surgery and 58 patients with delayed surgery. Preoperative and postoperative imaging were analyzed and data was collected regarding complications. Intervention: All patients were operated on by using the same technique—percutaneous fixation of sacroiliac joint with cannulated screws. Main outcome measurements: The study’s primary outcome measure was the safety and quality of the early operation in comparison with the late operation. Results: A total of 156 sacroiliac screws were inserted. No differences were found between the immediate and delayed treatment groups regarding technical outcome measures (P value = 0.44) and complication rate (P value = 0.42). Conclusions: The current study demonstrated that immediate percutaneous sacroiliac screw insertion for unstable pelvic fractures produced equally good technical results, in comparison with the conventional delayed operation, without additional complications.

    Original languageEnglish
    Pages (from-to)163-169
    Number of pages7
    JournalEuropean Journal of Trauma and Emergency Surgery
    Volume44
    Issue number2
    DOIs
    StatePublished - 1 Apr 2018

    Keywords

    • Early vs. late insertion
    • Pelvic fracture
    • Percutaneous
    • Sacroiliac screw

    ASJC Scopus subject areas

    • Surgery
    • Emergency Medicine
    • Orthopedics and Sports Medicine
    • Critical Care and Intensive Care Medicine

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