Early Results of Percutaneous Iliosacral Screws Placed with the Patient in the Supine Position

TLDR

Operative management of pelvic ring fractures is challenging, with posterior disruptions often linked to severe soft‑tissue injuries and high infection rates, and percutaneous iliosacral screw fixation has become popular thanks to improved fluoroscopic imaging. The study aims to assess whether percutaneous iliosacral screw fixation after closed reduction reduces operative blood loss and infection rates. The technique involves percutaneous iliosacral screw fixation after closed reduction, minimally violating the soft‑tissue envelope. Early results and complications were documented in the first 68 patients.

Abstract

The operative management of pelvic ring fractures and dislocations is difficult. Posterior pelvic ring disruptions are often associated with severe soft-tissue injuries and high infection rates. Percutaneous iliosacral screw fixation of the posterior pelvis has become popular with improved fluoroscopic imaging techniques. The percutaneous iliosacral screw technique after closed reduction of the posterior pelvic disruption minimally violates the soft-tissue envelope and should diminish both the operative blood loss and infection rate. The early results and complications are documented in our first 68 patients.