Comparison between posterior sacral plate stabilization versus minimally invasive transiliac-transsacral lag-screw fixation in fractures of sacrum: a single-centre experience

Purpose The sacrum is a mechanical nucleus working as the base for the spinal column, as well as the keystone of the pelvic ring. Thus, injuries of the sacrum can lead to biomechanical instability and nerve conduction abnormality. Methods The common classification is the Denis classification, but th...

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Bibliographic Details
Published in:International orthopaedics 2019-01, Vol.43 (1), p.177-185
Main Authors: Liuzza, Francesco, Silluzio, Noemi, Florio, Michela, El Ezzo, Omar, Cazzato, Gianpiero, Ciolli, Gianluca, Perisano, Carlo, Maccauro, Giulio
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Bone Plates
Bone Screws
Child
Female
Fracture Fixation, Internal - instrumentation
Fracture Fixation, Internal - methods
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Minimally Invasive Surgical Procedures
Orthopedics
Retrospective Studies
Review Article
Sacrum - injuries
Sacrum - surgery
Spinal Fractures - surgery
Young Adult
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Summary:Purpose The sacrum is a mechanical nucleus working as the base for the spinal column, as well as the keystone of the pelvic ring. Thus, injuries of the sacrum can lead to biomechanical instability and nerve conduction abnormality. Methods The common classification is the Denis classification, but these fractures are often part of a lesion of the posterior pelvic ring and therefore the Tile classification is very useful. The goals of operative intervention are to reduce fracture fragments, protect neurological structures, and provide adequate stability for early mobilization. Results The stabilization of these injuries can be difficult even in a patient with adequate bone stock and concomitant medical comorbidities. The posterior-ring tension-band metallic plate and sacroiliac joint screw are two commonly used methods for posterior internal fixation of the pelvis. Conclusions In this study, we evaluate the differences, in the treatment of sacral fractures, between the two techniques, revising the literature and our experience.
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-018-4144-z