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Case Reports
. 2017 Aug 3:27:244.
doi: 10.11604/pamj.2017.27.244.11506. eCollection 2017.

Percutaneous iliosacral screw fixation in unstable pelvic fractures

Hicham Bousbaa  1 , Mohammed Ouahidi  1 , Jamal Louaste  1 , Mourad Bennani  1 , Tawfiq Cherrad  1 , Hassan Jezzari  1 , El Houssine Kasmaoui  1 , Khalid Rachid  1 , Laarbi Amhajji  1
Affiliations
Case Reports

Percutaneous iliosacral screw fixation in unstable pelvic fractures

Hicham Bousbaa et al. Pan Afr Med J. .

Abstract

Surgical treatment of unstable pelvic fractures Type C, has a vertical instability that is not controlled by traction and supine; therefore, orthopedic and functional treatments undertaken by default are sources of complications. The closed reduction with percutaneous sacroiliac fixation solves the problem of vertical instability; but at the cost of learning the method. Five patients with unstable pelvic fractures; were treated by percutaneous sacroiliac fixation. This reliable and useful method in the stabilization of unstable pelvic fractures. Good functional results are predictable based on the severity of pelvic fractures and associated injuries. The low rates of complications and the minimally invasive nature are the advantages of this method.

Keywords: Unstable pelvic fracture; pelvic fixation; percutaneous iliosacral screws; sacral fracture; sacroiliac joint.

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Figures

Figure 1
Figure 1
The first case with a fracture of the right anterior column associated with a fractured left the obturator ring and left sacroiliac disjunction
Figure 2
Figure 2
The second case with a pubic disjunction associated with a fracture of the left sacred aileron
Figure 3
Figure 3
The third case with a pubic disjunction and disjunction sacroiliac
Figure 4
Figure 4
Sacroiliac screw under fluoroscopic control
Figure 5
Figure 5
Postoperative control of the first patient who received a plate fixation of right acetabular fractures and then percutaneous screwing of the left sacroiliac disjunction
Figure 6
Figure 6
Postoperative control of the second patient who received an osteosynthesis of pubic disjunction and sacroiliac screw of the left sacral wing fracture
Figure 7
Figure 7
Postoperative control of the third case which received a double sacroiliac screw
See this image and copyright information in PMC

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