Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Department of Orthopaedic Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Yonsei Med J. 2020 Feb;61(2):198-200. doi: 10.3349/ymj.2020.61.2.198.
Pyogenic sacroiliitis is a relatively rare condition that often leads to surgical treatment, including debridement and arthrodesis. Here we introduce a new surgical technique using bilateral dual iliac screws to secure early ambulation and maximal fusion success rate for the treatment of pyogenic sacroiliitis. We retrospectively reported a case and technical reports of pyogenic sacroiliitis treated by a new bilateral dual iliac screw fixation arthrodesis technique using radiologic outcomes, including plain X-rays and MRI scans, as well as outcomes based on the visual analogue scale for pain measurement. This technique improved uncontrolled pyogenic sacroiliitis with immediate stability that enabled ambulation and secured firm fixation for extensive evacuation of infected debris and subsequent autograft bone arthrodesis. In conclusion, we recommend bilateral dual iliac screw fixation for the treatment of pyogenic sacroiliitis, as this technique can improve uncontrolled pyogenic sacroiliitis with immediate stability.
化脓性骶髂关节炎是一种相对罕见的疾病，通常需要手术治疗，包括清创和关节融合。在这里，我们介绍一种新的手术技术，使用双侧双髂螺钉固定以确保早期活动和最大的融合成功率，用于治疗化脓性骶髂关节炎。我们回顾性报告了一例化脓性骶髂关节炎病例和技术报告，该病例采用新的双侧双髂螺钉固定融合技术治疗，影像学结果包括 X 线和平扫 MRI，以及基于视觉模拟评分法测量疼痛的结果。该技术改善了无法控制的化脓性骶髂关节炎，即刻获得稳定性，从而能够活动，并确保广泛清除感染性碎片和随后自体骨植骨融合的牢固固定。总之，我们推荐使用双侧双髂螺钉固定治疗化脓性骶髂关节炎，因为该技术可以改善无法控制的化脓性骶髂关节炎的即刻稳定性。
