Abstract
Fourteen patients with transforaminal sacral fractures were treated with posterior iliosacral instrumentation. Patients were assessed in terms of surgical technique and functional results. A subjective functional scoring with a five-point scale was performed at the last follow-up. Activity pain, pain at rest, limping and patient satisfaction were evaluated. By considering symptom and satisfaction scores, subjective functional assessment revealed that ten patients had excellent results, two good and two moderate. There were no patients with poor functional outcome. The surgical technique is not a new concept. Combining sacral bar and pediculo-iliac fixation methods, provides vertical as well as horizontal stability and allows early weight bearing, the methods has many advantages. However, vertical and horizontal stabilities achieved by this technique may require further assessment with comparative biomechanical studies.
Résumé
Quatorze malades avec des fractures sacrées transforaminales ont été traités avec une instrumentation iliosacrée postérieure. Les malades ont été étudiés en fonction de la technique chirurgicale, et des résultats fonctionnels. Une échelle fonctionnelle subjective à 5 points a été utilisée au dernier examen. La douleur à l’activité et au repos, la boiterie et la satisfaction des patients ont été évalué. En considérant les symptômes et le score fonctionnel, 10 patients avaient un résultat excellent, 2 un bon résultat et 2 un résultat moyen. Il n’y avait aucun mauvais résultat.La technique chirurgicale n’est pas un nouveau concept. En combinant une barre sacrée et les méthodes de fixation pédiculaires , la stabilité horizontale aussi bien que verticale est obtenue, et une remise en charge précoce est possible. Cependant, les stabilités verticales et horizontales obtenues par cette technique peuvent exiger une appréciation supplémentaire avec des études biomécaniques comparatives.
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Harma, A., Inan, M. Surgical management of transforaminal sacral fractures. International Orthopaedics (SICOT) 29, 333–337 (2005). https://doi.org/10.1007/s00264-005-0678-y
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DOI: https://doi.org/10.1007/s00264-005-0678-y