Percutaneous iliosacral screw versus percutaneous reconstruction plate fixation for Tile C sacral fractures

Yin Shi-yuan; Luo Xue-feng; Shen Ming-quan; Xie Zeng-ru

doi:10.3969/j.issn.2095-4344.2014.31.014

Abstract：BACKGROUND:Percutaneous iliosacral screw internal fixation and percutaneous reconstruction plate internal fixation are two kinds of popular minimal y invasive surgical methods in recent years. However, due to lack of the support of related evidence-based medicine, it is controversial to choose which kind of surgical methods in the clinic. <br> OBJECTIVE:To compare the difference for treating Tile C sacral fractures between percutaneous iliosacral screw and percutaneous reconstruction plate. <br> METHODS:Clinical data of 63 cases of unilateral Tile C sacral fractures were retrospectively analyzed, including 26 cases of percutaneous iliosacral screw internal fixation and 37 cases of percutaneous reconstruction plate internal fixation. The data of operation time, intraoperative bleeding loss, length of incision, X-ray exposure frequency and fracture healing time were compared between both groups. The clinical efficacy was evaluated based on Matta standards and Majeed standards. <br> RESULTS AND CONCLUSION:Al 63 patients were fol owed up for 12-36 months. No significant difference in union of fracture was detected between both groups. Intraoperative bleeding loss, length of incision, and clinical therapeutic outcomes were better in the percutaneous iliosacral screw internal fixation group than in the percutaneous reconstruction plate internal fixation group. However, percutaneous iliosacral screw internal fixation has greater surgical risk, asks for higher technology compared with percutaneous reconstruction plate internal fixation, and percutaneous iliosacral screw internal fixation suits experienced treatment team. The clinical therapeutic effects were poorer in percutaneous reconstruction plate internal fixation group than in percutaneous iliosacral screw internal fixation group, but percutaneous reconstruction plate internal fixation has shorter operative time, less X-ray exposure frequency, easier operation, and more convenient to be spread in primary hospitals.