Sacroiliac screw fixation for Type C analysis of 30 cases of pelvic fracture.docVIP

 PAGE \* MERGEFORMAT 11 Sacroiliac screw fixation for Type C analysis of 30 cases of pelvic fracture On: Su Wei, Zhang Shao Jun, Yao Dong, Guo Daxing, Qi Feng, Dong force, Liu Hao [Abstract] Objective To evaluate the C-arm guided percutaneous sacroiliac screw fixation of pelvic fracture safety and efficacy. Methods Retrospective analysis of percutaneous sacroiliac screw fixation of pelvic fractures in 30 patients, sacroiliac screws were 7.0 mm in diameter semi-hollow threaded screw, screw 8 cases bilateral in 5 cases unilateral two screws in 17 cases, a unilateral screw. based on a detailed follow-up after surgery and neurological examination and X-ray evaluation of results their safety and therapeutic effect. Results The operation time 15 ~ 55 min, an average of 28 min, intraoperative X-ray average cumulative time of 4 min. after 30 patients were followed up for 3 to 30 months, an average of 12.5 months . There were no iatrogenic nerve injury in all patients, except 2 cases of sacroiliac screw the poor, the other in good position of sacroiliac screws, no screws shift phenomenon. there were 6 patients after physical load sacroiliac pain , no further need for surgery patients. Conclusion C-arm X-ray machine guided percutaneous sacroiliac screw fixation is a treatment for C type pelvic fracture safe, effective, minimally invasive approach. [Keywords:] pelvic fractures, C-arm X-ray machine, sacroiliac screws Pelvic fractures are more common in clinical, a high-energy injury. Muller C-type pelvic fracture posterior pelvic ring associated with the destruction of unstable pelvic ring is not only horizontal, and vertical instability. C-type pelvic fracture of orthopedic surgeons is a severe test, good treatment can not only save the lives of patients, but also to maximize the functional recovery of patients. In addition to its treatment of early pelvic traction and external fixation, the pelvic ring stability after the reconstruction is also very importa