Transsacral-Transiliac Screw Stabilization: Effective for Recalcitrant Pain Due to Sacral Insufficiency Fracture
| Autor: | Ashoke Sathy, Adam J. Starr, Joshua Fox, John C. Chao, Drew Sanders |
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| Rok vydání: | 2016 |
| Předmět: |
Male
musculoskeletal diseases Sacrum medicine.medical_specialty Fractures Stress Bone Screws Treatment outcome MEDLINE Pilot Projects Screw fixation Ilium Fracture Fixation Internal 03 medical and health sciences 0302 clinical medicine Fracture fixation Insufficiency fracture Humans Medicine Orthopedics and Sports Medicine Longitudinal Studies Aged Pain Measurement Aged 80 and over 030222 orthopedics business.industry 030208 emergency & critical care medicine General Medicine Middle Aged musculoskeletal system Surgery Bone screws Spinal Fusion Treatment Outcome Spinal Fractures Female Chronic Pain business Low Back Pain |
| Zdroj: | Journal of Orthopaedic Trauma. 30:469-473 |
| ISSN: | 0890-5339 |
| DOI: | 10.1097/bot.0000000000000596 |
| Popis: | To evaluate the effectiveness of transsacral-transiliac screw fixation for the treatment of sacral insufficiency fractures that fail nonoperative treatment.A pilot study series of consecutive patients identified over 5 years were treated and followed prospectively.Academic-affiliated, tertiary referral, level 1 trauma center in Dallas, TX.Patients were selected on the basis of presenting diagnosis, and failure of nonoperative treatment of their sacral insufficiency fracture. Eleven patients entered to the study, and 10 completed follow-up.Placement of transsacral-transiliac screws for sacral insufficiency fracture.Comparison of preoperative and postoperative Visual Analog Scale scores and Oswestry Low Back Disability Index scores.Patients experienced statistically significant improvement in both outcome measures after intervention. No complications encountered.Transsacral-transiliac screw fixation seems to be a safe and effective treatment for sacral insufficiency fractures recalcitrant to nonoperative management.Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. |
| Databáze: | OpenAIRE |
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