Posterior transiliac plating in vertically unstable sacral fracture

Area of Science:

• Orthopedic Surgery
• Trauma Surgery
• Pelvic Fracture Management

Background:

• Vertically unstable pelvic fractures pose significant treatment challenges.
• Effective surgical fixation is crucial for optimal patient recovery and functional outcomes.

Purpose of the Study:

• To describe the posterior transiliac plating technique.
• To report acute-phase clinical and radiological results for this method in vertically unstable pelvic fractures.

Main Methods:

• A technical note detailing the posterior transiliac plating procedure.
• Evaluation of 10 consecutive patients with vertically unstable pelvic fractures.

Main Results:

• Good or excellent reduction in 70% of cases.
• Good or excellent clinical results (Hannover and Majeed scores) in 80% of patients, with a mean Majeed score of 71.8.
• Systematic bone consolidation observed at final follow-up.
• Complications included early sepsis (3 cases) and hardware removal (4 cases).

Conclusions:

• Posterior transiliac plating offers immediate and effective fixation for vertically unstable pelvic fractures.
• Timely surgical intervention and minimal initial displacement correlate with better reduction outcomes.