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01-01-2019 | Review Article

Comparison between posterior sacral plate stabilization versus minimally invasive transiliac-transsacral lag-screw fixation in fractures of sacrum: a single-centre experience

Authors: Francesco Liuzza, Noemi Silluzio, Michela Florio, Omar El Ezzo, Gianpiero Cazzato, Gianluca Ciolli, Carlo Perisano, Giulio Maccauro

Published in: International Orthopaedics | Issue 1/2019

Abstract

Purpose

The sacrum is a mechanical nucleus working as the base for the spinal column, as well as the keystone of the pelvic ring. Thus, injuries of the sacrum can lead to biomechanical instability and nerve conduction abnormality.

Methods

The common classification is the Denis classification, but these fractures are often part of a lesion of the posterior pelvic ring and therefore the Tile classification is very useful. The goals of operative intervention are to reduce fracture fragments, protect neurological structures, and provide adequate stability for early mobilization.

Results

The stabilization of these injuries can be difficult even in a patient with adequate bone stock and concomitant medical comorbidities. The posterior-ring tension-band metallic plate and sacroiliac joint screw are two commonly used methods for posterior internal fixation of the pelvis.

Conclusions

In this study, we evaluate the differences, in the treatment of sacral fractures, between the two techniques, revising the literature and our experience.

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Title: Comparison between posterior sacral plate stabilization versus minimally invasive transiliac-transsacral lag-screw fixation in fractures of sacrum: a single-centre experience
Authors: Francesco Liuzza
Noemi Silluzio
Michela Florio
Omar El Ezzo
Gianpiero Cazzato
Gianluca Ciolli
Carlo Perisano
Giulio Maccauro
Publication date: 01-01-2019
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 1/2019
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-018-4144-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Comparison between posterior sacral plate stabilization versus minimally invasive transiliac-transsacral lag-screw fixation in fractures of sacrum: a single-centre experience

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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