Percutaneous Transiliac-Transsacral Screw Fixation can improve Pain, Ambulation, and Rate of Disposition to Home.

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Percutaneous Transiliac-Transsacral Screw Fixation can improve Pain, Ambulation, and Rate of Disposition to Home.

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.

Source

Journal of Orthopaedic Trauma  

Link:

https://www.ncbi.nlm.nih.gov/pubmed/29916895

The original title of article:

Percutaneous Transiliac-Transsacral Screw Fixation of Sacral Fragility Fractures Improves Pain, Ambulation, and Rate of Disposition to Home

Authors:

J. Brock Walker et al.

SearchTags: 
Therapeutic, Sacral Fragility Fractures, Pelvis, Hips, Retrospective Cohort Study, Efficacy, VAS
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