Ziran Navid, Collinge Cory A, Smith Wade, Matta Joel M
St. Joseph's Hospital and Medical Center, 500 W. Thomas Road Suite 850, Phoenix, AZ, 85013, USA.
Texas Health Harris Methodist Hospital Fort Worth, Orthopedic Specialty Associates, 800 Fifth Avenue, Suite 300, Fort Worth, TX, 76104, USA.
Patient Saf Surg. 2022 Jul 27;16(1):24. doi: 10.1186/s13037-022-00333-w.
Posterior pelvic ring injuries (i.e., sacro-iliac joint dislocations, fracture-dislocations, sacral fractures, pelvic non-unions/malunions) are challenging injury patterns which require a significant level of surgical training and technical expertise. The modality of surgical management depends on the specific injury patterns, including the specific bony fracture pattern, ilio-sacral joint involvement, and the soft tissue injury pattern. The workhorse for posterior pelvic ring stabilization has been cannulated iliosacral screws, however, trans-sacral screws may impart increased fixation strength. Depending on injury pattern and sacral anatomy, trans-sacral screws can potentially be more beneficial than iliosacral screws. In this article, the authors will briefly review pelvic mechanics and discuss their rationale for ilio-sacral and/or trans-sacral screw fixation.
骨盆后环损伤（即骶髂关节脱位、骨折脱位、骶骨骨折、骨盆不愈合/畸形愈合）是具有挑战性的损伤类型，需要高水平的外科培训和技术专长。手术治疗方式取决于具体的损伤类型，包括特定的骨折类型、髂骶关节受累情况以及软组织损伤类型。骨盆后环稳定的主要方法一直是使用空心髂骶螺钉，然而，经骶骨螺钉可能会提供更强的固定强度。根据损伤类型和骶骨解剖结构，经骶骨螺钉可能比髂骶螺钉更具优势。在本文中，作者将简要回顾骨盆力学，并讨论他们使用髂骶螺钉和/或经骶骨螺钉固定的理论依据。
