Case Report: The Prone Reduction of a Sacroiliac Disruption with a Pelvic C-clamp

Quintero, Andres J.; Tarkin, Ivan S.; Pape, Hans-Christian

doi:10.1007/s11999-008-0508-9

Cited by 8 publications

(6 citation statements)

References 17 publications

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“…Some authors such as Howlett et al [30] argue that complications due to stabilization of lesions of the sacrum or sacroiliac by plate fixation decrease with the improved skill of the surgeon and the discovery and use of new innovative techniques. The percutaneous technique is becoming more and more popular for this characteristic of providing tissue sparring for the patient and significant reduction of morbidity/mortality rates [31,32]. Percutaneous techniques, such as synthesis with ileosacral screws, are an interesting treatment option for many authors [8,11–22,31,32].…”

Section: Discussionmentioning

confidence: 99%

“…The percutaneous technique is becoming more and more popular for this characteristic of providing tissue sparring for the patient and significant reduction of morbidity/mortality rates [31,32]. Percutaneous techniques, such as synthesis with ileosacral screws, are an interesting treatment option for many authors [8,11–22,31,32]. Routt et al [8] described that the posterior percutaneous technique (the same used by us) has a low infection rate (0 on a series of 177 consecutive patients).…”

Section: Discussionmentioning

confidence: 99%

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Percutaneous screws CT guided to fix sacroiliac joint in tile C pelvic injury. Outcomes at 5 years of follow-up

Falzarano

Rollo

Bisaccia

et al. 2018

SICOT-J

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Introduction: The treatment of the sacroiliac joint (SIJ) vertical instability is a matter of current discussions and remains controversial. The aim of our study is the evaluation of the surgical management of SIJ vertical instability involving the use of cannulated screws introduced under CT guidance and local anesthesia.Materials and methods: In the set time frame of 7 years, 96 poly-trauma patients with Tile's type C fracture of the pelvis with vertical instability of the SIJ were treated. The average distance between the two stumps was 73.4 mm (range: 43–100 mm). All patients were treated with anterior stabilization and subsequent stabilization with cannulated screws (Asnis® Stryker® 6 mm, an average length of 70 mm; range from 55 to 85 mm) of the sacroiliac fracture. The clinical and radiological follow-up was performed with follow-up plain radiograph and Majeed score (from 1 to 60 months after injury).Results: The consolidation of pelvic fractures was obtained after an average of 63 days. The average Majeed score was as follows: 96 points at 1 month, 84 points at 3 months, 62 points at 6 months, 44 points at 12 months, 42 points at 24 months, 32 points at 36 months, 28 points at 48 months and 28 points at 60 months. Complications were as follows: not fatal deep vein thrombosis in five cases, skin infection at the entry point of the screws in six cases, screw breakage in one case and loosening of the screws in one case. Radiological evidence of fracture consolidation was achieved on average at 63 days. Forty-seven patients managed to get back to their pre-trauma employment at the end of the convalescence period.Conclusions: Our results suggest that the stabilization of SI Tile type C fracture/dislocations with CT-guided percutaneous cannulated screws is a valid and feasible management option and associated with a low complication rate.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Percutaneous screws CT guided to fix sacroiliac joint in tile C pelvic injury. Outcomes at 5 years of follow-up

Falzarano

Rollo

Bisaccia

et al. 2018

SICOT-J

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“…Both invasive and noninvasive treatment modalities have been described 3,5,6 . However, invasive methods like the C clamp [7][8][9][10] and external fixators 11,12 are not feasible at the injury scene because application requires emergency department or operating-room facilities. Even in the hospital setting, these invasive measures often take considerable time to apply.…”

mentioning

confidence: 99%

Comparison of Three Different Pelvic Circumferential Compression Devices: A Biomechanical Cadaver Study

Knops

Schep

Spoor

et al. 2011

Journal of Bone and Joint Surgery

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“…The device is mainly used to control hemorrhage in rotationally and vertically unstable pelvic fractures with disruption of the posterior ring (Tiles B and C) [ 1 – 5 ]. It has also been used as to reduce sacral fractures and sacroiliac fracture dislocations [ 8 – 10 ]. Ertel and colleagues reported on 20 patients with unstable pelvic fractures (Tile B or C) in hemorrhagic shock [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Use of the Pelvic C-Clamp to Mitigate Acute Respiratory Distress Syndrome in a Patient with an Unstable Sacral Fracture

DeRogatis

Issack

2018

Case Reports in Orthopedics

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Case We present the case of a 21-year-old man who fell from a roof, sustaining a displaced sacral fracture with pelvic instability. He developed acute respiratory distress syndrome (ARDS) within 24 hours of injury. Placement of the pelvic C-clamp resulted in rapid resolution of pulmonary dysfunction, allowing for definitive internal fixation. Conclusion The C-clamp is most commonly used to control hemorrhage in unstable posterior pelvic ring injuries. Our case demonstrates a rare use of the C-clamp to stabilize the posterior pelvis in a patient with an unstable sacral fracture and ARDS, to rapidly improve pulmonary function prior to definitive surgery.

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Case Report: The Prone Reduction of a Sacroiliac Disruption with a Pelvic C-clamp

Cited by 8 publications

References 17 publications

Percutaneous screws CT guided to fix sacroiliac joint in tile C pelvic injury. Outcomes at 5 years of follow-up

Percutaneous screws CT guided to fix sacroiliac joint in tile C pelvic injury. Outcomes at 5 years of follow-up

Comparison of Three Different Pelvic Circumferential Compression Devices: A Biomechanical Cadaver Study

Use of the Pelvic C-Clamp to Mitigate Acute Respiratory Distress Syndrome in a Patient with an Unstable Sacral Fracture

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