Abstract
Objective: To determine the efficacy in treatment of vertically unstable sacral fractures with pelvic external fixation and skeletal traction. Patients and Methods: The pelvic external fixation and skeletal traction were applied on 12 cases of vertically unstable sacral fracture (eight males and four females, at age of 19 - 52 years, mean 35.2 years) including two cases of Denis Zone I, nine of Zone II, and one of Zone III. All patients were treated with the pelvic external fixation, and pre- and post-operational longitudinal skeletal traction. Results: The mean operation time, skeletal traction time, skeletal traction removal time and full weight bearing time were 38 min, 4.5 weeks, 8.5 weeks, and 10.3 weeks respectively. All these patients were followed up for 12 - 36 months (average, 22.5 months), which showed no associated complication. The function results were rated as excellent in four cases, good in six and fair in two, with a mean score of 84.4 points, according to Majeed scoring system. Conclusion: The anterior pelvic external fixation with continuous skeletal traction can reliably restore and stabilize the vertically unstable sacrum fracture with excellent functional and radiographic outcomes. It is an ideal method to treat unstably vertical sacral fracture.
Highlights
Unstable sacral fractures are mainly caused by high-energy trauma
Patients and Methods: The pelvic external fixation and skeletal traction were applied on 12 cases of vertically unstable sacral fracture including two cases of Denis Zone I, nine of Zone II, and one of Zone III
We evaluated the efficacy in treatment of vertically unstable sacral fractures with pelvic external fixation and skeletal traction
Summary
Unstable sacral fractures are mainly caused by high-energy trauma. Most of these fractures are combined with spinal injuries and/or pelvic ring injuries [1], and associated with lots of vital complications. It has a great advancement to treat this kind of fractures due to the development of surgical fixation techniques, including percutaneous iliosacral screws [3], posterior transiliac plating [4], lumbopelvic fixation [5] or triangular osteosynthesis [6], and transiliosacral rod [7]. These instruments might provide adequate stability, they are difficult techniques with a steep learning curve. These techniques are limited if the patients’ vital parameters do not allow definitive operative reduction and fixation
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