Conventional plate fixation versus minimally invasive modified pedicle screw-rod fixation for anterior pelvic ring fractures

Autor: Yao-Tung Tsai, Chun-Chi Hung, Chia-Chun Wu, Tsu-Te Yeh, Yu-Ching Chou, Chun-Liang Hsu
Rok vydání: 2018
Předmět:
Male
Critical Care and Emergency Medicine
Medical Implants
Radiography
medicine.medical_treatment
Orthopedic Surgery
Cancer Treatment
Diagnostic Radiology
Fracture Fixation
Internal
Fractures
Bone
Pelvic ring
Pedicle Screws
Fracture fixation
Medicine and Health Sciences
Tomography
Trauma Medicine
Multidisciplinary
Radiology and Imaging
Middle Aged
Oncology
Bone Fracture
Medicine
Engineering and Technology
Female
Anatomy
Bone Plates
Traumatic Injury
Research Article
Biotechnology
Adult
medicine.medical_specialty
Imaging Techniques
Science
Bladder
Surgical and Invasive Medical Procedures
Bioengineering
Neuroimaging
Research and Analysis Methods
Fixation (surgical)
Young Adult
Imaging
Three-Dimensional
Musculoskeletal System Procedures
Diagnostic Medicine
Bone plate
medicine
Internal fixation
Humans
Minimally Invasive Surgical Procedures
Pelvic Bones
Plate fixation
Retrospective Studies
business.industry
Biology and Life Sciences
Renal System
Surgery
Computed Axial Tomography
Surgical Repair
Medical Devices and Equipment
Complication
business
Tomography
X-Ray Computed
Neuroscience
Zdroj: PLoS ONE
PLoS ONE, Vol 14, Iss 4, p e0215233 (2019)
ISSN: 1932-6203
Popis: There are various methods of fixation for anterior pelvic ring fractures. We report our experience with modified pedicle screw-rod fixation (MPSRF) via a minimally invasive method. Fourteen patients with anterior pelvic ring fracture were treated by internal fixation (conventional plate fixation, n = 7; MPSRF, n = 7). Intraoperative blood loss, operative time, post-operative fracture reduction grading by radiography, and complication rates were compared and statistically analyzed. Patients treated with MPSRF had a shorter operative time (-36 min, P = 0.378) and significantly less blood loss (-264 ml, P = 0.026) than patients in the conventional plate fixation group. Postoperative radiological evaluations were similar between the groups (P > 0.05). The complication rate was lower in the MPSRF group (1/7 patients) than in the plate fixation group (2/7 patients). Modified pedicle screw-rod fixation is a viable treatment for anterior pelvic ring fixation and can reduce blood loss.
Databáze: OpenAIRE
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