Article
Health Care Sciences & Services
Yao-Tung Tsai, Yu-Ching Chou, Chia-Chun Wu, Tsu-Te Yeh
Summary: Experience shows that minimally invasive spinopelvic fixation can significantly shorten operative time, reduce blood loss, and improve treatment outcomes. The minimally invasive group had better cosmetic appearance and a lower complication rate.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Medicine, General & Internal
Florian Baumann, Stefano Pagano, Volker Alt, Viola Freigang
Summary: Pelvic ring injuries are rare but serious, and percutaneous sacro-iliac screw fixation (SSF) is the standard treatment. SSF may cause deformity of the sacrum and pelvic ring. This study evaluated sacral morphometry in SSF for posterior pelvic fractures. It found that the bony sacral volume and pelvic deformity depend on the treatment of the anterior pelvic ring.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Wei Tian, Feng-Shuang Jia, Jia-Ming Zheng, Jian Jia
Summary: This study evaluated the clinical outcomes of unstable sacral fractures treated with RoboTFX. The results showed that compared to traditional open methods, RoboTFX has the advantages of shorter operation time, less intraoperative bleeding and fluoroscopy, more accurate fixation insertion, and a higher healing rate.
ORTHOPAEDIC SURGERY
(2023)
Article
Orthopedics
Solene Prost, Mehdi Boudissa, Stephane Fuentes, Patrick Tropiano, Jerome Tonetti, Benjamin Blondel
Summary: The article discusses a minimally invasive lumboiliac and iliosacral fixation technique for treating posterior pelvic ring injuries. This technique is indicated for specific cases and has shown to significantly reduce postoperative complications while providing good postoperative outcomes.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2021)
Article
Orthopedics
Ludwig Oberkircher, Adrian Masaeli, Juliana Hack, Jens Figiel, Christopher Bliemel, Steffen Ruchholtz, Antonio Krueger
Summary: This study compared the effects of different cement augmentation options on iliac screw fixation. The results showed that cement augmentation significantly increased the pull-out strength, especially when used before screw placement. Further biomechanical studies are needed to confirm these findings.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2021)
Article
Orthopedics
Takuya Morita, Tomoyuki Takigawa, Takeshi Ishihara, Takuya Taoka, Takahiko Ishimaru, Tomoko Kanazawa, Keitaro Tada, Takao Omori, Yukihisa Yagata, Kazukiyo Toda, Kie Nakago, Yasuo Ito
Summary: By evaluating a minimally invasive surgical procedure for the management of unstable pelvic fractures, this study demonstrates its potential effectiveness in the treatment of pelvic fractures.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2023)
Article
Orthopedics
Shuang Wu, Jialei Chen, Yun Yang, Wei Chen, Rong Luo, Yue Fang
Summary: The study evaluated the radiographic and clinical outcomes of anterior subcutaneous internal fixation (INFIX) with or without posterior fixation for unstable pelvic fractures. The results showed that both methods achieved satisfactory radiographic and functional outcomes. Operative time, intraoperative blood loss, and hospital stay duration were within acceptable ranges, with low incidence of sacral nerve injury and overall good patient outcomes during follow-up.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Multidisciplinary Sciences
Jui-Ping Chen, Ping-Jui Tsai, Chun-Yi Su, I. -Chuan Tseng, Ying-Chao Chou, I. -Jung Chen, Pai-Wei Lee, Yi-Hsun Yu
Summary: This study aimed to evaluate the accuracy, efficacy, and safety of percutaneous iliosacral screw and trans-iliac trans-sacral screw insertion, and identify potential risk factors for mal-positioned screws. The results showed that placing the screws under the guidance of single C-arm fluoroscopy intensifier is a reliable and safe technique. However, caution should be exercised when performing this procedure in patients with a high body mass index.
SCIENTIFIC REPORTS
(2022)
Article
Orthopedics
Li He, Song Gong, Tianyu Li, Meiqi Gu, Zhe Xu, Hua Chen, Chengla Yi
Summary: This study presented a surgical technique for reducing and fixating the transverse parts of U-shaped sacral fractures simultaneously. The results showed that the surgical procedures were effective in restoring the normal position of the sacrum. Interestingly, there was a significant linear relationship between the Oswestry Disability Index and lumbar lordosis, but not between the index and pelvic incidence.
JOURNAL OF ORTHOPAEDIC SURGERY
(2022)
Article
Critical Care Medicine
Lei Xu, Kai Xie, Wanbo Zhu, Jiazhao Yang, Wei Xu, Shiyuan Fang
Summary: This study investigated the surgical techniques, efficacy, and safety of Starr frame-assisted minimally invasive internal fixation for stabilizing the anterior and posterior pelvic rings simultaneously in pelvic fractures. The results showed that this technique can stabilize the pelvic rings, facilitate early weight-bearing, and improve functional outcomes, providing a novel modality for minimally invasive treatment of pelvic ring injuries.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Review
Critical Care Medicine
Rodney Y. Arthur, Joey P. Johnson
Summary: Sacral fractures can occur as a result of high energy trauma in young adults and low energy trauma in older adults. Nonunion, a rare but debilitating complication of sacral fractures, can be managed with various surgical techniques such as open reduction and internal fixation or percutaneous screw fixation. This article reviews the initial management of sacral fractures, risk factors for nonunion, and the outcomes of different treatment strategies.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Orthopedics
Bernhard W. Ullrich, Klaus J. Schnake, Ulrich J. A. Spiegl, Philipp Schenk, Thomas Mendel, Lars Behr, Philipp Bula, Laura B. Fluecht, Alexander Franck, Erol Gercek, Sebastian Grueninger, Philipp Hartung, Cornelius Jacobs, Sebastian Katscher, Friederike Klauke, Katja Liepold, Christian W. Mueller, Michael Mueller, Georg Osterhoff, Axel Partenheimer, Stefan Piltz, Marion Riehle, Daniel Sauer, Max Joseph Scheyerer, Philipp Schleicher, Gregor Schmeiser, Rene Schmidt, Matti Scholz, Holger Siekmann, Kai Sprengel, Dietrich Stoevesandt, Akhil Verheyden, Volker Zimmermann
Summary: The study successfully developed a simple and reliable CT- and MRI-based classification system for osteoporotic fractures of the pelvis, showing substantial inter-rater and almost perfect intra-rater reliability.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Medicine, General & Internal
Xiao-dong Hao, Yuan-zhi Zhang, Shao-bai Wang, Gang Liu
Summary: This study aimed to evaluate the effect of percutaneous sacroiliac joint screw placement using unobstructed orthopaedic surgery robots on longitudinal sacrum fractures. The results showed significant differences in screw placement angle deviation, guide needle deviation, intra-operative fluoroscopy time, and insertion time of each sacroiliac joint screw between the robot group and the freehand group, indicating better treatment outcomes in the robot group.
FRONTIERS IN MEDICINE
(2023)
Article
Clinical Neurology
Wang Zhi, Ghassan Boubez, Fidaa Al-Shakfa, Yousef Kamel, Jia Liu, Daniel Shedid, Sung Joo Yuh, Maroun Rizkallah
Summary: This study is a retrospective single-center multi-surgeon cohort study that compares the post-operative changes in the compensatory mechanisms of the sagittal balance between S2-Alar-iliac screws (S2AI) and iliac screws (IS) in patients with Adult spine deformity (ASD). The results show that the type of pelvic fixation significantly impacts the post-operative compensatory mechanisms, with S2AI patients more likely to compensate through their knees and IS patients more likely to compensate through their pelvis.
GLOBAL SPINE JOURNAL
(2023)
Article
Orthopedics
Simran Mand, Scott Telfer, Shamele Battan, Christina L. Brunnquell, Ken F. Linnau, David Zamora, Conor P. Kleweno
Summary: This study used opportunistic quantitative computed tomography (QCT) to provide detailed maps of changes in sacral bone density across a series of patients. The results showed significant differences in local cortical and trabecular bone density associated with age and sex. The findings are clinically significant as they could assist orthopaedic surgeons in planning surgical approaches to sacral fracture fixation.
JOURNAL OF ORTHOPAEDIC RESEARCH
(2023)