Effect of the subcutaneous route for iliac screw insertion in lumbopelvic fixation for vertical unstable sacral fractures on the infection rate: A retrospective case series

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• 作者：Yi-Hsun Yu^a ; ^{alanyu1007@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Meng-Ling Lu^b ; ^{lumengling@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; I-Chuan Tseng^a ; ^{ichuantseng@adm.cgmh.org.tw" class="auth_mail" title="E-mail the corresponding author} ; Chun-Yi Su^a ; ^{su1491@adm.cgmh.org.tw" class="auth_mail" title="E-mail the corresponding author} ; Yung-Heng Hsu^a ; ^{laurencehsu.hsu@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Wen-Lin Yeh^a ; ^{yeh.wenlin@msa.hinet.net" class="auth_mail" title="E-mail the corresponding author} ; Chi-Chung Wu^a ; ^{ccwu@mail.cgu.edu.tw" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Sacral fracture ; Pelvic fracture ; Iliac screw ; Lumbopelvic fixation ; Surgical site infection ; Retrospective case series ; Iliac screw insertion ; Case series ; Retrospective study ; Vertical unstable sacral fracture
• 刊名：Injury
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：47
• 期：10
• 页码：2212-2217
• 全文大小：1233 K

文摘

To report the perioperative results and surgical outcomes of patients with vertical unstable sacral fractures who underwent lumbopelvic fixation through a modified subcutaneous route for iliac screw fixation.

c_2">Summary of background data

Treating vertical unstable sacral fractures is still challenging for orthopedic surgeons. Among various methods for treating these fractures, lumbopelvic fixation provides a high reduction quality and promising stability for early weight-bearing ambulation. However, wound healing disturbance and surgical site infection (SSI) are the drawbacks of this extensive technique, especially after inserting iliac screws.

c_3">Methods

Here, we provide an alternative subcutaneous route for iliac screw insertion during lumbopelvic fixation surgery to lessen soft tissue retraction and injury, and thus decrease soft tissue complications.

c_4">Results

Using this modified technique, 28 patients with vertical unstable sacral fractures were treated between 2012 and 2014. One patient had an SSI (infection rate: 3.5%). All fractures were united with a mean sacral kyphosis correction angle of 10.5°. The mean Majeed score of the 17 patients during the 12-month follow-up was 84.5.

c_5">Conclusions

The subcutaneous route for iliac screw insertion is a simple, safe, and effective technique when performing lumbopelvic fixation for vertical unstable sacral fractures.