Analysis of clinical effects of iliolumbar fixation in treating U-shaped sacral fractures.
10.12200/j.issn.1003-0034.2021.07.011
- Author:
Hai-Lin XING
1
;
Shu-Hua LAN
1
;
Shu-Ming HUANG
1
;
Chong WANG
1
;
Pan-Pan XIE
1
;
Xu-Feng CHU
1
;
Ji-Fei YE
1
;
Fang YE
1
;
Quan-Zhou WU
1
Author Information
1. Department of Orthopedics, the Fifth Affiliated Hospital of Wenzhou Medical University, Lishui Municipal Central Hospital, Lishui 323000, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Fractures;
Iliolumbar fixation;
Sacrum
- MeSH:
Bone Screws;
Female;
Fracture Fixation, Internal;
Humans;
Male;
Retrospective Studies;
Sacrum/surgery*;
Spinal Fractures/surgery*;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2021;34(7):646-649
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To evaluate the efficacy of iliolumbar fixation in the treatment of U-shaped sacral fractures.
METHODS:A retrospective study was conducted on the 14 complex U-shaped sacral fractures which had been treated from January 2014 to December 2019, involved 10 males and 4 females, aged 24 to 48 (35.4±6.5) years. Fracture healing time, nerve function, clinical function and complications were observed in the patients.
RESULTS:All patients were followed up for 9 to 16(26.0±5.9) months. The complete weight-bearing time for bone healing was(12.4±2.0) weeks. One case of surgical incision infection occurred after operation, and one case of sacrum nailspenetrated to the outer plate of sacrum. No complications such as pressure ulcers, loosening or rupture of internal fixation occurred. According to Gibbons scoring, the neurological function recovered from preoperative 2.9±0.9 to postoperative 2.1±1.1, there were statistically significant differences between preoperative and postoperative (
CONCLUSION:Sacral lumbar fixation is an effective method for the treatment of U-shaped sacrum fractures. It has the advantages of strong internal fixation and satisfactory functional recovery.
