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Percutaneous
transiliac–transsacral screw fixation of sacral fragility fractures improved
pain, ambulation, and the rate of disposition to home without increasing complications
or length of stay.
Patients
with significant posterior pelvic pain with ambulation or who failed to
ambulate with physical therapy demonstrated significant benefits when treated
with percutaneous transiliac–transsacral screw fixation, evident from a study
results published in the Journal of Orthopaedic Trauma.
J. Brock
Walker and colleagues explained the role of percutaneous transiliac-transsacral
screw fixation in improving sacral fragility fractures related ambulation,
pain, length of stay and disposition rate to home. This technique became
popular in mid and late 1990 to fix posterior pelvic ring injuries. Nowadays,
it is used to manage issues with sacral fractures.
A total of 41 older patients who suffered from sacral fractures from August
2015 to August 2017 were selected retrospectively. Out of these, 25 treated
non-operatively and 16 treated with percutaneous transiliac-transsacral screw
fixation. The ambulation, length of stay, pain and disposition rate to home
were measured as significant outcomes of the analysis.
The operational group showed improved pain (3.9 points) measured by VAS as
compared to non-operative group( 0.6 points, p<0.001). Hundred per cent of
operational group patients were able to ambulate as compared to 72% patients of
the non-operational group (p=0.03). The operational group also exhibited higher
( 95 ft vs 35 ft) average distance ambulating during discharge. Both groups
presented an almost equal length of stay (operative – 3.6 days; non-operative –
4.2 days). A total of 75% patients from operational group discharged to home as
compared to 20% from non-operational group. No complications were noticed
during operation. Overall, the percutaneous transiliac-transsacral screw
fixation able to improves sacral fragility fractures related problems. However,
more research is required to assess technique advantages in regards to medium
and long-term outcomes.
Journal of Orthopaedic Trauma
Percutaneous Transiliac-Transsacral Screw Fixation of Sacral Fragility Fractures Improves Pain, Ambulation, and Rate of Disposition to Home
J. Brock Walker et al.
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