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
Orthopedics
Chul-Ho Kim, Jung Jae Kim, Ji Wan Kim
Summary: This study compared the clinical outcomes and complications of two minimally invasive surgical techniques for treating C-type pelvic bone fractures. The results showed that both percutaneous transiliac plate fixation and iliosacral screw fixation had good treatment results, but there were differences in postoperative complications.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Sadaki Mitsuzawa, Kenji Kusakabe, Shota Nakao, Tetsuya Matsuoka, Tadashi Yasuda, Shuichi Matsuda
Summary: This study retrospectively analyzed the clinical outcomes of patients with unstable posterior pelvic ring injuries who underwent internal fixation with GWP, finding that GWP provided reliable stability and good rehabilitation outcomes.
BMC MUSCULOSKELETAL DISORDERS
(2022)
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
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
Steven F. Shannon, Giovanni Oppizzi, Michael G. Schloss, Jared Atchison, Jason Nascone, Marcus Sciadini, Li-Qun Zhang, Robert V. O'Toole, Todd Jaeblon
Summary: The study indicates that fully threaded TI-TS screw fixation is mechanically superior to partially threaded fixation in a cadaveric vertically unstable transforaminal sacral fracture model, showing less displacement of the posterior pelvic ring and greater load to failure.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Article
Orthopedics
Blake J. Schultz, Ryan M. Mayer, Kevin D. Phelps, Augustine M. Saiz, Patrick J. Kellam, Jonathan G. Eastman, Milton L. Routt, Stephen J. Warner
Summary: The purpose of this study is to describe a pre-operative planning technique for inserting multiple transiliac-transsacral screws and define the parameters for a sacral osseous fixation pathway that allows for dual-screw insertion. The study also aimed to identify the incidence of adequate sacral OFPs in a representative patient population.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Critical Care Medicine
Krassnig R. Renate, Viertler E. Elisabeth, Schwarz A. M. Angelika Maria, Kuchling S. Sabine, Wildburger R. Renate, Hohenberger G. M. Gloria Maria
Summary: The study aimed to investigate the optimal intraosseous screw placement for the first two sacral segments, revealing distances from screw entrance points to the narrowest portion and measurements of height and width in that area. There were no statistically significant gender correlations found for the measured distances. The results of this anatomical study may assist in performing safe surgical procedures.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Critical Care Medicine
Koroush Kabir, Philipp Lingohr, Max Jaenisch, Roslind Karolina Hackenberg, Nils Sommer, Robert Ossendorff, Kristian Welle, Martin Gathen
Summary: This study presents a detailed documentation of a total endoscopic anterior pelvic approach (TAPA) for plate fixation of a symphyseal disruption, aiming to describe a minimally invasive technique for reducing complications and hospitalization, and providing technical recommendations and assessing potential pitfalls and problems of this new surgical approach.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Review
Surgery
Yong-Cheol Yoon, Dae Sung Ma, Seung Kwan Lee, Jong-Keon Oh, Hyung Keun Song
Summary: Straddle fractures with posterior pelvic ring injury often require surgical treatment to stabilize the pelvic bone. The study evaluated outcomes in 73 patients, with 56 having posterior pelvic ring injury, and found that surgical fixation methods were determined based on injury severity. Radiological and functional evaluations showed mostly positive results, highlighting the importance of special attention to straddle fracture patients.
ASIAN JOURNAL OF SURGERY
(2021)
Article
Medicine, General & Internal
Paul Schmitz, Maximilian Kerschbaum, Philipp Lamby, Siegmund Lang, Volker Alt, Michael Worlicek
Summary: The study involved creating 3D models based on CT scans of 40 patients and found that bone corridors in the posterior iliac wing are reliable for screw placement in posterior pelvic ring fixation surgery, regardless of individual patient anatomy.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Biology
Jixuan Liu, Yadong Yan, Ke Xu, Chunpeng Zhao, Yu Wang, Xinbao Wu, Wei Tian
Summary: Pelvic fracture is a severe injury with high mortality and disability rates. Surgical treatment of pelvic fracture is challenging due to the complex pelvic morphology and soft tissue anatomy. This study focuses on three commonly used pelvic holding pathways and identifies the most effective force direction for each pathway through finite element modeling. The use of a combined holding strategy can reduce reduction force, with the 3-pin combined strategy showing advantages in rotational reduction.
COMPUTERS IN BIOLOGY AND MEDICINE
(2023)
Article
Surgery
Ricarda Johanna Seemann, Erik Hempel, Gabriele Russow, Serafeim Tsitsilonis, Ulrich Stoeckle, Sven Maerdian
Summary: This retrospective cohort study compared the clinical outcomes, complications, and quality of life between the transiliac fixator (TIFI) and spinopelvic fixation (SPF) for dorsal pelvic ring fractures. Both methods showed relatively good post-operative results but TIFI had slightly lower complication rates and shorter cutting/suture and fluoroscopy time, while SPF was superior in pain and pelvic scores.
FRONTIERS IN SURGERY
(2021)
Article
Orthopedics
Zhi-Hong Pan, Fan-Cheng Chen, Jun-Ming Huang, Cheng-Yi Sun, Sheng-Long Ding
Summary: This study compared the stability and clinical outcomes of MPSRF and INFIX for treating anterior pelvic ring fractures. Results showed that MPSRF provided better fixation stability and lower risk of implant failure compared to INFIX, leading to better clinical outcomes.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
David Dreizin, Elana B. Smith
Summary: CT is a crucial tool in diagnosing and characterizing sacral fractures, which commonly occur in patients with pelvic ring disruption. Understanding the biomechanics and fracture patterns is essential for effective management. Researchers explore various classification systems to improve the diagnosis and communication of sacral fractures.
