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首页> 外文期刊>Journal of Clinical Medicine >Safety, Effect and Feasibility of Percutaneous SI-Screw with and without Augmentation—A 15-Year Retrospective Analysis on over 640 Screws
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Safety, Effect and Feasibility of Percutaneous SI-Screw with and without Augmentation—A 15-Year Retrospective Analysis on over 640 Screws

机译：经皮SI螺钉的安全性，效果和可行性，无需增强-15年的回顾性分析超过640螺钉

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Background: Minimally invasive sacroiliac-screw (SI-screw) fixation of the pelvis is used in energy trauma (Arbeitsgemeinschaft für Osteosynthesefragen (AO) classified) and fragility fractures (Fragility Fracture of the Pelvis (FFP) classified). However, available clinical data are based on small case series and biomechanical data seem to be contradictory. Methods: The present single center retrospective cohort study investigated percutaneous SI-screw fixation and augmentation over 15 years. Groups were compared concerning the general epidemiological data, mobilization, complication rates, duration of stay, and safety of SI-screw insertion. Multivariable analyses were performed using logistic regression. Results: Between 2005 and March 2020, 448 patients with 642 inserted SI-screws were identified. Iatrogenic neurological impairment was documented in 2.47% and correlated with screw misplacement. There was an increased complication risk in patients with AO type C over patients with AO type B and in FFP II over FFP III/IV patients. Cement-augmented FFP patients showed a 25% reduced stay in hospital and a reduced complication risk. Cement-associated complications were seen in 22% without correlation to neurologic impairment. Conclusions: The present study confirms the safety and usability of percutaneous SI-screw fixation, despite specific risks. Cement augmentation seems to reduce the complication risk in FFP patients and shorten hospital stay for some reasons, without increased specific complications or correlated neurological impairment.
机译：背景：骨盆的微创骶髂螺钉（Si-螺杆）固定在能量创伤（ArbeitsgemeinschaftFür骨质骨质骨肉（AO）分类）和脆性骨折（骨盆（FFP）分类的脆弱性骨折）中。然而，可用的临床数据基于小型案例系列，生物力学数据似乎是矛盾的。方法：目前单中心回顾性队列研究研究了15年多的经皮SI螺钉固定和增强。比较群体关于一般流行病学数据，动员，并发症率，保持持续时间和Si螺杆插入的安全性。使用Logistic回归进行多变量分析。结果：2005年至3月20日，448例患有642名插入的SI螺钉患者。经理神经损伤以2.47％记录，并与螺杆错位相关。在FFP III / IV患者中，AO型C患者的AO型C患者的并发症风险增加了。水泥增强的FFP患者在医院减少了25％，并降低了并发症风险。在22％中看到水泥相关的并发症，而不与神经系统损伤相关。结论：目前的研究证实了尽管具体风险，证实了经皮SI螺钉固定的安全性和可用性。水泥增强似乎减少了FFP患者的并发症风险，并且由于某种原因，缩短了医院留下的休息时间，而不会增加特定的并发症或相关的神经系统损伤。

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