Background
Pelvic ring disruptions are associated with increased patients’ morbidity and mortality. Several methods have been advocated for treatment of such devastating injuries. Surgical fixation is now regarded as the treatment of choice of unstable pelvic disruptions. Among different methods of surgical fixation, iliosacral screws (ISS) have shown promising results in the treatment of the disruption of the posterior pelvic ring.
Aim
The aim of this study was to report the clinical and radiological results of ISS for fixation of the posterior pelvic disruption in completely unstable pelvic ring injury (Tile’s C).
Settings and design
A prospective study was held at Alexandria University.
Patients and methods
This study involved a prospective assessment of 27 patients with Tile’s C pelvic disruption who had ISS fixation. The mean duration of postoperative follow up was 28.96±9.28 (12–49) months. The clinical outcome was assessed with postoperative Majeed score and the rate of the postoperative complications. The radiological outcome was evaluated by the degree of postoperative displacement on the anteroposterior plain radiographs.
Statistical analysis
SPSS version 20.0.
Results
The mean postoperative Majeed score was 79.11±13.01. There was a statistically significant improvement in the postoperative vertical displacement (<0.001*). The incidence of the postoperative complications was 25.9%.
Conclusion
Fixation with ISS is an effective procedure in the management of completely unstable posterior pelvic ring injuries.