This research aimed to assess the role of the transpedicular Fixation system in the management of unstable sacral fractures in adults.
Pelvic ring disruptions are high-energy injuries with a significant impact on quality of life and higher levels of mortality. Unstable sacral fracture is an unusual injury, and even though many studies implicate the surgical intervention as the treatment of choice, the purposes of surgery on sacral fractures include pelvic ring reconstruction, lumbopelvic stability restoration, fracture healing, early mobilization, fracture displacement prevention and improving the neurological deficiency. More and more surgeons are advocating for surgical management in the treatment of sacral fractures, and open reduction internal fixation (ORIF) has demonstrated marked benefits over conservative treatment.
Study Type
OBSERVATIONAL
Enrollment
21
Patients underwent transpedicular sacral fixation.
Tanta University
Tanta, El-Gharbia, Egypt
Functional outcome
Function results were assessed in terms of pain, standing and sitting, sexual function, and the need of assistance when walking, walking distance, and gait according to scoring system proposed by Majeed score. Five factors were assessed and scored: pain (30 points), standing (36 points), sitting (10 points), sexual intercourse (4 points) and work performance (20 points). The total score then gave a clinical grade as excellent (\>85 points), good (70-84 points), fair (55-69 points) or poor (\<55 points).
Time frame: 1 year postoperatively
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