Anatomic reduction of the sacroiliac joint in unstable pelvic ring injuries and its correlation with functional outcome.
Anatomic reduction
Long-term outcome
Percutaneous screw fixation
Sacroiliac joint disruptions
Sacroiliac joint fractures
Journal
European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
27
07
2020
accepted:
15
09
2020
pubmed:
2
10
2020
medline:
14
4
2022
entrez:
1
10
2020
Statut:
ppublish
Résumé
Reduction and percutaneous screw fixation of sacroiliac joint disruptions and sacral fractures are surgical procedures for stabilizing the posterior pelvic ring. It is unknown, however, whether smaller irregularities or the inability to achieve an anatomic reduction of the joint and the posterior pelvic ring affects the functional outcome. Here, the long-term well-being of patients with and without anatomic reduction of the posterior pelvis after sacroiliac joint disruptions is described. Between 2011 and 2017, 155 patients with pelvic injuries underwent surgical treatment. Of these, 39 patients with sacroiliac joint disruption were examined by radiological images and computer tomography (CT) diagnostics and classified according to Tile. The functional outcome of the different surgical treatments was assessed using the short form health survey-36 (SF-36) and the Majeed pelvic score. Complete data sets were available for 31 patients, including 14 Tile type C and 17 type B injuries. Of those, 26 patients received an anatomic reduction, 5 patients obtained a shift up to 10 mm (range 5-10 mm). The SF-36 survey showed that the anatomic reduction was significantly better in restoring the patient's well being (vitality, bodily pain, general mental health and emotional well-being). Patients without this treatment reported a decrease in their general health status. Anatomic reduction was achieved in over 80% of patients in this study. When comparing the long-term well-being of patients with and without anatomic reduction of the posterior pelvis after sacroiliac joint disruptions, the results suggest that anatomical restoration of the joint is beneficial for the patients.
Identifiants
pubmed: 33000296
doi: 10.1007/s00068-020-01504-z
pii: 10.1007/s00068-020-01504-z
pmc: PMC9001211
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1491-1498Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2020. The Author(s).
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