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

  • A. Acker
  • Z. H. Perry
  • S. Blum
  • G. Shaked
  • A. Korngreen
Original Article

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.

Keywords

Pelvic fracture Sacroiliac screw Percutaneous Early vs. late insertion 

Notes

Compliance with ethical standards

Funding

No funding were received for the current study.

Conflict of interest

We Asaf Acker, Zvi Perry, Shlomo Blom, Gad Shaked and Amir Korngreen declare we have no conflict of interest.

Ethical standards statement

We hereby declare that all human and animal studies have been approved by the appropriate ethics committee and have therefore, been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  1. 1.Orthopedic DepartmentSoroka University Medical CenterBeer ShevaIsrael
  2. 2.Trauma UnitSoroka University Medical CenterBeer ShevaIsrael
  3. 3.Surgery Ward ASoroka University Medical CenterBeer ShevaIsrael
  4. 4.Epidemiology Department, Faculty of Health SciencesBen-Gurion UniversityBeer ShevaIsrael

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