Percutaneous CT-guided hollow screw fixation for treatment of sacroiliac complex injury
10.3760/cma.j.issn.1001-8050.2011.01.015
- VernacularTitle:CT引导下经皮空心钉内固定治疗骶髂关节复合体损伤
- Author:
Jun YANG
;
Zhendong ZHOU
;
Jianjun LI
;
Hailun GU
;
Chuanhui ZHANG
- Publication Type:Journal Article
- Keywords:
Sacroiliac joint;
Tomography,X-ray computed;
Minimally invasive
- From:
Chinese Journal of Trauma
2011;27(1):44-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety, feasibility and efficacy of CT-guided percutaneous hollow screw fixation in the treatment of patients with sacroiliac complex injury. Methods Forty-five patients (at age range of 15-58 years) with sacroiliac complex injuries including 20 males and 25 females were enrolled in this study. There were 28 traffic injuries and 17 fall injuries. Fourteen patients with sacral fractures ( 15 patients with Dennis type Ⅰ fractures and nine with Dennis type Ⅱ fractures), 12 with sacroiliac joint dislocation, six with sacral fracture combined with sacroiliac joint dislocation and nine with sacroiliac joint complex injury. All patients were treated by CT-guided percutaneous hollow screw fixation. The functional exercise was performed early after operation. Results Seventy-two hollow screws were installed in 45 patients, with the operation time for 21-68 minutes ( average 37 minutes) and the operative blood loss for 30-75 ml. Of all, 38 patients were followed up for 6-26 months. According to the Majeed functional criteria, the score of the patients was 72-96 points (average 90. 3 points ), which showed that the results were excellent in 33 patients and good in two, with excellence rate of 92%. No iatrogenic nerve injury, incision infection or screw fracture were detected. Conclusion CT-guided percutaneous hollow screw fixation takes advantages of precise direction, stable fixation and safe operation and hence is one of safe and effective methods for treatment of sacroiliac complex injury.
