Posterior Screw-rod Fixation and Modified Stoppa Approach for Treatment of Type C1 Pelvic Frac-tures

Abstract：Objective To summarize and explore the clinical effect and generalizability of posterior screw-rod fixation and Modified Stoppa approach for treatment of type C1 pelvic fractures. Methods 23 cases of type C1 pelvic and fractures were treated with posterior screw-rod fixation and Modified Stoppa approach. Operation time,blood loss and postoperative complica-tions were recorded. Matta and Majeed score standards were used to evaluate clinical results. Results All cases were followed up for more than one year. Operation time and blood loss ranged from 120 ~ 180 min with an average of 140 min and 100 ~ 800 mL with an average of 350 min respectively. Autologous blood transfusion were not adopted in all cases and parts of cases were accepted low volume transfusion. According to Matta score standards,there were excellent in 20,good in 1,fair in 2 one week after operation. One year after surgery,there were excellent in 19,good in 3,fair in 1. There were bone union in all cases in 1 year. Conclusion Posterior screw-rod fixation and Modified Stoppa approach for treatment of type C1. 2 and C1. 3 pelvic frac-tures has excellent result. And,the operation makes treatment of type C1. 2 and C1. 3 pelvic fractures simple and effective.