Sacroiliac screw fixation for pelvic ring fractures: A cross sectional study

Abstract

Pelvic ring fractures are the most difficult to treat fractures in adults, with the increase in prevalence of road traffic accidents, the number of pelvic fractures is increasing over the period of time. The mortality in these pelvic fractures can reach up to 20%, despite the modern treatment modalities being available. Ilio-sacral screw fixation has been used frequently to treat unstable posterior pelvic ring fractures, where one or two screws are used. Patients scheduled to undergo percutaneous sacroiliac screw fixation for pelvic ring fracture were included in the study. This study aims to find out the correlation of outcome based on Merle d' Aubigne' and Postel scoring of Patients treated with percutaneous sacroiliac screw fixation. The patients had mean hospital stay of 11-12 days. The study had total of 23 patients of posterior pelvic ring fracture, out of which one patient had died. Amongst the remaining 22 patients, 87% had history of Road Traffic Accidents trauma. 78% patients had associated injuries. The study used Modified Merle d'Aubigne' & Postel Clinical Score to see for the functional outcome, which consisted of scoring based on pain, walking and range of motion, the study found significant association between score and associated injury with hip.