Routt M L, Simonian P T
Harborview Medical Center, Department of Orthopaedics, Seattle, WA, USA.
Clin Orthop Relat Res. 1996 Aug(329):121-8. doi: 10.1097/00003086-199608000-00015.
Closed manipulative reduction and percutaneous fixation of a displaced sacral fracture is a treatment alternative that offers several advantages. The fracture is reduced and stabilized without an extensile surgical exposure. The risks of surgical wound problems, especially infection, are lessened. Operative and anesthesia times are decreased by using percutaneous techniques of reduction and fixation. Blood loss is also minimized by the percutaneous procedure. Sacral nonunion after this technique is rare. The procedure is dependent on quality fluoroscopic pelvic imaging, a thorough understanding of the posterior pelvic anatomy and early operative intervention, especially in patients with severe posterior pelvic deformities.
移位性骶骨骨折的闭合手法复位及经皮固定是一种具有多种优势的治疗选择。该骨折无需广泛手术暴露即可实现复位和稳定。手术伤口问题尤其是感染的风险降低。采用经皮复位和固定技术可减少手术及麻醉时间。经皮操作还可使失血量降至最低。采用该技术后骶骨不愈合的情况罕见。该手术依赖于高质量的骨盆透视成像、对骨盆后部解剖结构的透彻理解以及早期手术干预，尤其是对于伴有严重骨盆后部畸形的患者。
