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The safety and efficacy of percutaneous (经皮的安全性和有效性)
Page 26 SA Orthopaedic Journal Summer 2014 | Vol 13 • No 4
The safety and efficacy of percutaneous
sacroiliac joint screw fixation
PH Naudé MBChB
S Roche MBChB, FCS(SA)Ortho
M Nortje MBChB, FC(Ortho), MMed
S Maqungo MBChB, FC(Ortho), MMed
Department of Orthopaedic Surgery, Orthopaedic Trauma Service, Groote Schuur Hospital, University of
Cape Town
Correspondence:
Dr S Maqungo
4 Granula Place
7441 Sunset Beach
Email: sithombo@
Tel: +27 (0) 21 4045108
Fax: 0866922718
Abstract
Purpose of study
Percutaneous screw fixation of sacroiliac joint dislocations, fracture-dislocations and sacral fractures is a well-
recognised technique first described by Routt and has increasingly gained popularity in recent times. This
method is biomechanically comparable to open reduction and internal fixation with plates and screws but offers
the advantages of minimally invasive surgical techniques. It is however a technically demanding procedure with
reported complications including hardware failure, misplacement of screws, nerve injury and poor posterior
reduction. The purpose of the study is to report clinical and radiological results of patients treated with clo
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