PMID: 25748660Mar 10, 2015Paper

Minimally invasive stabilization of posterior pelvic ring injuries with a transiliac internal fixator and two iliosacral screws: comparison of outcome

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
M SalášekM Jansová

Abstract

A comparison of radiological and clinical results between dorsal pelvic segment stabilization with a transiliac internal fixator (TIFI) and that with two iliosacral screws (IS). In this prospective study, both the TIFI and the IS group had 32 patients. The majority of injuries were assessed as type C1.3 because only patients with a high-energy mechanism of injury were included. Radiological results were evaluated according to the Matta scoring system and clinical outcome using the Majeed score and the Pelvic Outcome Score. Categorical data were evaluated by the two-sided Fisher's exact test or Pearson's χ2 test and continuous data by Student's t-test. A test result with p<0.05 was considered statistically significant. In the TIFI group, the mean posterior displacement was 2.2 mm, in the IS group it was 1.9 mm (p=0.58542). The pelvic outcome scores in the TIFI group were: excellent, 28%; good, 12%; fair, 48.0%; and poor, 4 %; in the IS group they were: excellent, 11.1%; good, 22.2%; fair, 66.7%; and poor, 0.0% (p=0.51731). The Majeed scores were as follows: excellent, 56.0%; good, 16.0%; fair, 20.0%; poor 8.0 % for the TIFI group and excellent, 50.0%; good, 27.8%; fair, 11.1%; and poor, 11.1% for the IS group (p=0.70187). Within...Continue Reading

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