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首页> 外文期刊>Injury >Outcome and complications of posterior transiliac plating for vertically unstable sacral fractures.
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Outcome and complications of posterior transiliac plating for vertically unstable sacral fractures.

机译：vertically骨垂直不稳骨折后路经plating穿钢板的结果和并发症。

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Vertically unstable sacral fractures often make it difficult to achieve rigid fixation and there is no consensus on the optimal fixation technique for these injuries. The purpose of this study was to evaluate complication rate and short-term outcome of vertically unstable sacral fractures treated by posterior transiliac plate fixation. We performed a retrospective review of prospectively collected data of patients who underwent posterior transiliac plating for sacral fractures at two institutions. All patients were treated with the standard posterior approach using a 4.5-mm reconstruction plate and followed for at least 12 months. Patients' demographics, Majeed functional questionnaire surveys, and radiographic outcomes were collected. There were 19 patients with a mean age of 37.5-years. The mean follow-up was 26.3 months. The most frequent mechanism of injury was a fall from a height. According to the AO/OTA classification, there were 10 C1, 6 C2, and 3 C3, which were classified as 2 Denis I, 20 Denis II, and 2 Denis III, including 5 bilateral sacral fractures. Neurological deficit at the initial examination was recorded in 10 patients. The mean ISS was 20.7 and the mean timing of the internal fixation was 6.4 days. Anterior internal fixation of pelvic ring was added in eight patients. A Morel-Lavallee lesion was identified in 5 patients during the operation. Reductions were graded as nine excellent, seven good, and three fair according to the method of Tornetta. There were two postoperative surgical wound infections, both occurring in patients with a Morel-Lavallee lesion. All the sacral fractures united eventually and no implant failure occurred, though there were two patients with a small loss of reduction (<5mm) over the follow-up period. A total of 18 patients completed the functional assessment with a mean score of 78.5 points. Posterior plate fixation of vertically unstable sacral fractures is effective in maintaining fracture reduction even in the presence of significant posterior comminution. We caution its use in the presence of a known Morel-Lavallee lesion, as this may increase the wound complication and infection risk.
机译：垂直不稳定的骨骨折通常难以实现牢固的固定，对于这些损伤的最佳固定技术尚无共识。这项研究的目的是评估经trans骨后路钢板固定治疗的垂直不稳定unstable骨骨折的并发症发生率和短期预后。我们对在两家机构进行的经trans椎后路plating骨plating骨骨折患者的前瞻性收集数据进行了回顾性回顾。所有患者均使用4.5 mm重建钢板经标准后路入路治疗，并随访至少12个月。收集患者的人口统计资料，Majeed功能问卷调查表和放射线影像结果。有19例患者的平均年龄为37.5岁。平均随访26.3个月。最常见的伤害机制是从高处跌落。根据AO / OTA分类，有10个C1、6个C2和3个C3，分别分类为2个Denis I，20个Denis II和2个Denis III，包括5个双侧骨骨折。最初检查时有10名患者记录了神经功能缺损。平均ISS为20.7，平均内固定时间为6.4天。八例患者增加了骨盆环的前内固定。手术期间在5例患者中发现了Morel-Lavallee病变。根据Tornetta的方法，减少的等级分为9优，7优和3公平。术后有两次手术伤口感染，均发生在Morel-Lavallee病变患者中。所有the骨骨折最终合并在一起，并且没有发生植入失败，尽管在随访期间有两名患者的复位损失很小（<5mm）。共有18位患者完成了功能评估，平均评分为78.5分。垂直不稳定的terior骨骨折的后钢板固定即使在存在明显的后粉碎性骨折的情况下也能有效地保持骨折复位。我们警告在存在已知的Morel-Lavallee病变的情况下使用，因为这可能会增加伤口并发症和感染风险。

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