Comparison between posterior sacral plate stabilization versus minimally invasive transiliac-transsacral lag-screw fixation in fractures of sacrum: a single-centre experience
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The sacrum is a mechanical nucleus working as the base for the spinal column, as well as the keystone of the pelvic ring. Thus, injuries of the sacrum can lead to biomechanical instability and nerve conduction abnormality.
The common classification is the Denis classification, but these fractures are often part of a lesion of the posterior pelvic ring and therefore the Tile classification is very useful. The goals of operative intervention are to reduce fracture fragments, protect neurological structures, and provide adequate stability for early mobilization.
The stabilization of these injuries can be difficult even in a patient with adequate bone stock and concomitant medical comorbidities. The posterior-ring tension-band metallic plate and sacroiliac joint screw are two commonly used methods for posterior internal fixation of the pelvis.
In this study, we evaluate the differences, in the treatment of sacral fractures, between the two techniques, revising the literature and our experience.
KeywordsSacral fractures Fixation fractures Danis’classification Pelvic ring posterior Sacral plate Transiliac-transsacral screw Review Clinical outcame Comparision treatment
Compliance with ethical standards
Institutional review board statement
The study was reviewed and approved by the internal ethics committee of orthopedics and traumatology department of Policlinico Gemelli Hospital.
Informed consent statement
All involved persons gave their verbal informed consent prior to being included in the analysis.
Conflict of interest
The authors declare that they have no conflict of interest.
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