Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
ANZ J Surg. 2022 Jan;92(1-2):212-217. doi: 10.1111/ans.17413. Epub 2021 Dec 22.
To investigate the method of reconstruction of the sacroiliac joint in patients who underwent benign tumour curettage and analyse the effect of internal fixation with lumbo-iliac screws and connecting rod insertion after filling the defect with bone cement.
Twenty-four patients with benign sacroiliac joint tumours underwent curettage and filling of the defect with bone cement, followed by lumbo-iliac screw and connecting rod insertion. The visual analogue scale (VAS) was used to assess pain, and the Musculoskeletal Tumour Society (MSTS) score was used to assess hip function.
All patients were followed-up for 24-96 months (average, 42.2 months). The postoperative VAS score was significantly lower than the preoperative score (p < 0.05), while the postoperative MSTS score was significantly higher than the preoperative score (p < 0.05). One patient had delayed healing of the surgical incision; no complications occurred in the remaining patients.
For benign sacroiliac joint tumours, the combination of filling of defects with bone cement and internal lumbo-iliac fixation can relieve pain quickly, and achieve good limb function.
探讨良性肿瘤刮除术后骶髂关节重建的方法，分析骨水泥填充后采用腰髂螺钉与连接杆内固定的效果。
对 24 例骶髂关节良性肿瘤患者行肿瘤刮除术，并采用骨水泥填充病灶，然后行腰髂螺钉与连接杆固定。采用视觉模拟评分（VAS）评估疼痛，采用肌肉骨骼肿瘤学会（MSTS）评分评估髋关节功能。
所有患者均获随访，随访时间 24-96 个月，平均 42.2 个月。术后 VAS 评分明显低于术前（p<0.05），MSTS 评分明显高于术前（p<0.05）。1 例患者手术切口愈合延迟，其余患者均无并发症发生。
对于骶髂关节良性肿瘤，骨水泥填充病灶与腰髂内固定相结合，可快速缓解疼痛，获得良好的肢体功能。
