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Published on: November 8, 2024
Clinical study on the treatment of complex sacral fractures with lumbopelvic fixation
Jiguang Tian1, Xin Zhao1, Zhiyong Wang1
1Department of Orthopaedics, Qilu Hospital, Shandong University, Jinan, China.
Objective:
To explore the efficacy of lumbopelvic internal fixation in the treatment of complex sacral fractures.
Methods:
A retrospective analysis was conducted on 39 patients with complex sacral fractures admitted between 2012 and 2024, including 3 cases of Denis Zone I, 20 cases of Denis Zone II, and 16 cases of Denis Zone III. There were 8 cases of Tile B type and 31 cases of Tile C type. All patients underwent open reduction and lumbopelvic internal fixation, decompression was performed in those with sacral nerve compression. The therapeutic effect was evaluated using the Majeed score at the final follow-up and the Gibbons score before surgery and at the final follow-up.
Results:
All 39 patients were followed up for 12-73 months (mean 42.2 months), with a fracture healing time of 6-13 months (mean 10.6 months). The Majeed score at the final follow-up was 79.3 ± 14.8, including 17 excellent cases, 13 good cases, 7 fair cases, and 2 poor cases. The Gibbons score at the final follow-up was significantly better than that before surgery, with a statistically significant difference (Z = -3.674, P < 0.05).
Conclusion:
Lumbopelvic internal fixation is an effective method for the treatment of complex sacral fractures, achieving satisfactory reduction and fixation. Early decompression is recommended for patients with sacral nerve injury and compression.
Level Of Evidence:
IV; Therapeutic retrospective case series.
