Templeman D, Goulet J, Duwelius P J, Olson S, Davidson M
Hennepin County Medical Center, Minneapolis, MN, USA.
Clin Orthop Relat Res. 1996 Aug(329):180-5. doi: 10.1097/00003086-199608000-00021.
The results of internal fixation in 30 patients with displaced fractures of the sacrum were retrospectively reviewed. All fractures were displaced at least 1 cm. Neurologic injuries occurred in 40% (12 of 30) patients. In 17 patients who underwent open reduction, the preoperative displacement averaged 24 mm and the postoperative displacement averaged 4 mm. In the 13 patients in whom percutaneous fixation was done, the preoperative displacement averaged 15 mm and the postoperative displacement averaged 5 mm. All 30 fractures united. This review of 30 patients with displaced sacral fractures suggests that open reduction and iliosacral screw fixation leads to better reduction of the fracture site than does closed reduction and percutaneous fixation. Functional assessment indicated that the presence of a neurologic injury is the most important predictor of compromised outcome in patients with displaced sacral fractures.
对30例骶骨移位骨折患者的内固定治疗结果进行了回顾性研究。所有骨折均移位至少1厘米。40%（30例中的12例）患者发生神经损伤。在17例行切开复位的患者中，术前移位平均为24毫米，术后移位平均为4毫米。在13例行经皮固定的患者中，术前移位平均为15毫米，术后移位平均为5毫米。所有30例骨折均愈合。对30例骶骨移位骨折患者的这项研究表明，与闭合复位和经皮固定相比，切开复位和髂骶螺钉固定能更好地复位骨折部位。功能评估表明，神经损伤的存在是骶骨移位骨折患者预后受损的最重要预测因素。
