Email this article 
Fixation of posterior pelvic ring in unstable pelvic fractures
- Authors: SI Gilfanov SI1, VV Danilyak VV1, YM Vedeneeev Y.M1, MA Emelin MA1, VV Vrzhesinsky VV1
-
Affiliations:
- Issue: No 2 (2009)
- Pages: 53-58
- Section: Clinical studies
- Submitted: 19.07.2022
- Published: 15.06.2009
- URL: https://journal.rniito.org/jour/article/view/1864
- DOI: https://doi.org/10.17816/2311-2905-1864
- ID: 1864
Cite item
Full Text
Abstract
41 patients, aged 14-60 years with posterior pelvic ring fractures were treated between 2006-2009. Fractures occurred after motor vehicle accident (33) , fall from height (7), gas explosion (1). 30 patients (73,1%) had sacral fractures, 10 (24,4%) - SI joint rupture, 1 (2,5%) had fracture of iliac bone. According to Denis classification 6 patients had transalar fractures (zone I), 20 patients - transforaminal fractures (zone II), and 4 - a central sacral fracture (zone III). 2 - complete sacroiliac joint dislocations. For stabilization sacroiliac screw fixation were used in 2 cases, sacral bars - in 2, posterior sacroiliac plate fixation had 9 patients, local osteosynthesis of a sacrum with a spinopelvic fixation - 24.
The technique of ileolumbar fixation in a combination with local osteosynthesis of sacrum or with any other way of SI joint fixation is optimal for bringing down of half of pelvis at vertical displacement on zone SI joint or on sacral fracture.
The technique of ileolumbar fixation in a combination with local osteosynthesis of sacrum or with any other way of SI joint fixation is optimal for bringing down of half of pelvis at vertical displacement on zone SI joint or on sacral fracture.
Keywords
About the authors
S I SI Gilfanov
V V VV Danilyak
Yu M YM Vedeneeev
M A MA Emelin
Email: emelinm@rambler.ru
V V VV Vrzhesinsky
References
- Ордынский, Б. Переломы тазового кольца / Б. Ордынский. - М. : Фолиум, 2003. - 206 с.
- Черкес-Заде, Д.И. Лечение повреждений таза и их последствий / Д.И. Черкес-Заде. - М. : Медицина, 2006. - 192 с.
- Denis, F. Sacral fractures: an important problem. Retrospective analysis of 236 cases / F. Denis, S. Davis, T. Comfort // Clin Ortop. - 1988. - N 227. - P. 67-81.
- Epidemiologic features of pelvic fractures / L. Melton [et al.] // Clin. Orthop. - 1981. N 155. - P. 43-47.
- Epidemiology of pelvic ring injuries / A. Agansslen [et al.] // Injury. - 1996. - Vol. 27, Suppl. 1. - P. 14.
- Matta, J.M. Internal fixation of unstable pelvic ring injuries / J.M. Matta, P. Tornetta // Clin Orthop. - 1996. - N 329. - P. 129-140.
- Pelvic ring disruptions: Effective classifications system and treatment protocols / A.R. Burgess [et al.] // J. Trauma. - 1990. - N 30. - P. 848-856.
- Routt, M.L. Iliosacral screw fixation: early complications of the percutaneous technique / M.L. Routt, P.T. Simonian, W.J. Mills // J Orthop Trauma, 1997. -Vol. 11, N 8. - P. 584-589.
- Routt, M.L., Internal fixation of pelvic ring disruption / M.L. Routt, P.T. Simonian // Injury. - 1996. - Vol. 27, Suppl. 2. - P. 20-30.
- Tile, M. Fractures of the pelvis and acetabulum / M. Tile. - Baltimore : Williams & Wilkins, 2003.
- The strength of ileosacral lag screws and transiliac bars in the fixation of vertically unstable pelvic injuries with sacral fractures / J.T. Gorczyca [et al.] // Injury. - 1996. - N 27. - P. 561-564.
Supplementary files
