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. 2018 Apr;44(2):163-169.
doi: 10.1007/s00068-016-0654-9. Epub 2016 Mar 14.

Immediate percutaneous sacroiliac screw insertion for unstable pelvic fractures: is it safe enough?

A Acker  1 , Z H Perry  2   3 , S Blum  1 , G Shaked  4 , A Korngreen  1
Affiliations

Immediate percutaneous sacroiliac screw insertion for unstable pelvic fractures: is it safe enough?

A Acker et al. Eur J Trauma Emerg Surg. 2018 Apr.

Abstract

Objectives: The purpose of this study was to compare the results of immediate and delayed percutaneous sacroiliac screws surgery for unstable pelvic fractures, regarding technical results and complication rate.

Design: Retrospective study.

Setting: The study was conducted at the Soroka University Medical center, Beer Sheva, Israel, which is a level 1 trauma Center.

Patients: 108 patients with unstable pelvic injuries were operated by the orthopedic department at the Soroka University Medical Center between the years 1999-2010. A retrospective analysis found 50 patients with immediate surgery and 58 patients with delayed surgery. Preoperative and postoperative imaging were analyzed and data was collected regarding complications.

Intervention: All patients were operated on by using the same technique-percutaneous fixation of sacroiliac joint with cannulated screws.

Main outcome measurements: The study's primary outcome measure was the safety and quality of the early operation in comparison with the late operation.

Results: A total of 156 sacroiliac screws were inserted. No differences were found between the immediate and delayed treatment groups regarding technical outcome measures (P value = 0.44) and complication rate (P value = 0.42).

Conclusions: The current study demonstrated that immediate percutaneous sacroiliac screw insertion for unstable pelvic fractures produced equally good technical results, in comparison with the conventional delayed operation, without additional complications.

Keywords: Early vs. late insertion; Pelvic fracture; Percutaneous; Sacroiliac screw.

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