Minimally invasive treatment for anterior pelvic ring injuries with modified pedicle screw-rod fixation: A retrospective study

Chun Chi Hung, Jia Lin Wu, Yuan Ta Li, Yung Wen Cheng, Chia Chun Wu, Hsain Chung Shen, Tsu Te Yeh

研究成果: 雜誌貢獻文章

摘要

Background: Pelvic ring injuries constitute only 2 to 8% of all fractures; however, they occur in 20% of polytrauma patients. High-energy pelvic fractures often result in mechanical instability of the pelvic ring. Successful treatment of unstable pelvic ring fractures remains a challenge for orthopedic surgeons. This study presents a novel internal fixation method for stabilizing unstable anterior pelvic ring fractures using a minimally invasive modified pedicle screw-rod fixation (MPSRF) technique. Methods: This retrospective study included six patients with unstable pelvic ring injuries who underwent MPSRF, with or without posterior fixation. Intraoperative parameters such as blood loss, operative time, complications, and quality of reduction (Matta criteria) were recorded and evaluated by a blinded reviewer. Results: In the present clinical series, the mean operative times and mean blood loss for unilateral versus bilateral anterior ring fixations were 176.0min versus 295.6min, and 153.3mL versus 550.0mL, respectively. No iatrogenic neuropraxia of the lateral femoral cutaneous nerve or femoral nerve palsy occurred. The reduction quality, graded by the Matta criteria, was excellent in five patients and good in one patient. Conclusions: There were no infections, delayed unions, nonunions, or loss of reductions during the follow-up period. Only one patient suffered from a broken rod at 4months postoperatively. The modified technique represents a novel, minimally invasive procedure for the treatment of anterior pelvic ring fractures and offers a reliable and effective alternative to currently available surgical techniques.
原文英語
文章編號238
期刊Journal of Orthopaedic Surgery and Research
13
發行號1
DOIs
出版狀態已發佈 - 九月 17 2018

指紋

Retrospective Studies
Wounds and Injuries
Femoral Nerve
Operative Time
Therapeutics
Multiple Trauma
Paralysis
Pedicle Screws
Skin
Infection

Keywords

  • Minimally invasive treatment
  • Modified pedicle screw-rod fixation (MPSRF)
  • Pelvic ring

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

引用此文

Minimally invasive treatment for anterior pelvic ring injuries with modified pedicle screw-rod fixation : A retrospective study. / Hung, Chun Chi; Wu, Jia Lin; Li, Yuan Ta; Cheng, Yung Wen; Wu, Chia Chun; Shen, Hsain Chung; Yeh, Tsu Te.

於: Journal of Orthopaedic Surgery and Research, 卷 13, 編號 1, 238, 17.09.2018.

研究成果: 雜誌貢獻文章

Hung, Chun Chi ; Wu, Jia Lin ; Li, Yuan Ta ; Cheng, Yung Wen ; Wu, Chia Chun ; Shen, Hsain Chung ; Yeh, Tsu Te. / Minimally invasive treatment for anterior pelvic ring injuries with modified pedicle screw-rod fixation : A retrospective study. 於: Journal of Orthopaedic Surgery and Research. 2018 ; 卷 13, 編號 1.
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abstract = "Background: Pelvic ring injuries constitute only 2 to 8{\%} of all fractures; however, they occur in 20{\%} of polytrauma patients. High-energy pelvic fractures often result in mechanical instability of the pelvic ring. Successful treatment of unstable pelvic ring fractures remains a challenge for orthopedic surgeons. This study presents a novel internal fixation method for stabilizing unstable anterior pelvic ring fractures using a minimally invasive modified pedicle screw-rod fixation (MPSRF) technique. Methods: This retrospective study included six patients with unstable pelvic ring injuries who underwent MPSRF, with or without posterior fixation. Intraoperative parameters such as blood loss, operative time, complications, and quality of reduction (Matta criteria) were recorded and evaluated by a blinded reviewer. Results: In the present clinical series, the mean operative times and mean blood loss for unilateral versus bilateral anterior ring fixations were 176.0min versus 295.6min, and 153.3mL versus 550.0mL, respectively. No iatrogenic neuropraxia of the lateral femoral cutaneous nerve or femoral nerve palsy occurred. The reduction quality, graded by the Matta criteria, was excellent in five patients and good in one patient. Conclusions: There were no infections, delayed unions, nonunions, or loss of reductions during the follow-up period. Only one patient suffered from a broken rod at 4months postoperatively. The modified technique represents a novel, minimally invasive procedure for the treatment of anterior pelvic ring fractures and offers a reliable and effective alternative to currently available surgical techniques.",
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AU - Wu, Chia Chun

AU - Shen, Hsain Chung

AU - Yeh, Tsu Te

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N2 - Background: Pelvic ring injuries constitute only 2 to 8% of all fractures; however, they occur in 20% of polytrauma patients. High-energy pelvic fractures often result in mechanical instability of the pelvic ring. Successful treatment of unstable pelvic ring fractures remains a challenge for orthopedic surgeons. This study presents a novel internal fixation method for stabilizing unstable anterior pelvic ring fractures using a minimally invasive modified pedicle screw-rod fixation (MPSRF) technique. Methods: This retrospective study included six patients with unstable pelvic ring injuries who underwent MPSRF, with or without posterior fixation. Intraoperative parameters such as blood loss, operative time, complications, and quality of reduction (Matta criteria) were recorded and evaluated by a blinded reviewer. Results: In the present clinical series, the mean operative times and mean blood loss for unilateral versus bilateral anterior ring fixations were 176.0min versus 295.6min, and 153.3mL versus 550.0mL, respectively. No iatrogenic neuropraxia of the lateral femoral cutaneous nerve or femoral nerve palsy occurred. The reduction quality, graded by the Matta criteria, was excellent in five patients and good in one patient. Conclusions: There were no infections, delayed unions, nonunions, or loss of reductions during the follow-up period. Only one patient suffered from a broken rod at 4months postoperatively. The modified technique represents a novel, minimally invasive procedure for the treatment of anterior pelvic ring fractures and offers a reliable and effective alternative to currently available surgical techniques.

AB - Background: Pelvic ring injuries constitute only 2 to 8% of all fractures; however, they occur in 20% of polytrauma patients. High-energy pelvic fractures often result in mechanical instability of the pelvic ring. Successful treatment of unstable pelvic ring fractures remains a challenge for orthopedic surgeons. This study presents a novel internal fixation method for stabilizing unstable anterior pelvic ring fractures using a minimally invasive modified pedicle screw-rod fixation (MPSRF) technique. Methods: This retrospective study included six patients with unstable pelvic ring injuries who underwent MPSRF, with or without posterior fixation. Intraoperative parameters such as blood loss, operative time, complications, and quality of reduction (Matta criteria) were recorded and evaluated by a blinded reviewer. Results: In the present clinical series, the mean operative times and mean blood loss for unilateral versus bilateral anterior ring fixations were 176.0min versus 295.6min, and 153.3mL versus 550.0mL, respectively. No iatrogenic neuropraxia of the lateral femoral cutaneous nerve or femoral nerve palsy occurred. The reduction quality, graded by the Matta criteria, was excellent in five patients and good in one patient. Conclusions: There were no infections, delayed unions, nonunions, or loss of reductions during the follow-up period. Only one patient suffered from a broken rod at 4months postoperatively. The modified technique represents a novel, minimally invasive procedure for the treatment of anterior pelvic ring fractures and offers a reliable and effective alternative to currently available surgical techniques.

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