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Edad y estrategia de fijación como factores asociados para la disfunción de la articulación sacroilíaca después de la

Cemil Aktan¹, Çile Aktan², Muhammed Ergün¹

¹Department of Orthopaedics and Traumatology, Antalya Training and Research Hospital, Antalya, Türkiye.

Frontiers in surgery

|December 31, 2025

Resumen

La fijación unilateral con tornillo sacroilíaco para lesiones pélvicas aumenta el riesgo de disfunción de la articulación sacroilíaca (DASI), especialmente en pacientes más jóvenes. Esta disfunción provoca dolor y discapacidad significativos a largo plazo, lo que resalta la necesidad de una cuidadosa selección de la estrategia de fijación.

Sus antecedentes:

La disfunción de la articulación sacroilíaca (DASI) es una causa subreconocida de dolor postoperatorio después de la estabilización del anillo pélvico.
La fijación percutánea con tornillo sacroilíaco, aunque estable, puede causar DASI iatrogénica al restringir la micromovilidad.
Las contribuciones distintas de la gravedad de la lesión frente a la estrategia de fijación a la DASI no se comprenden bien.

Conclusiones:

La fijación unilateral con tornillo sacroilíaco se asocia con una mayor incidencia de DASI, particularmente en individuos más jóvenes.
La estrategia de fijación, no la morfología de la fractura, parece ser el principal factor asociado.
La DASI contribuye significativamente al dolor y la discapacidad a largo plazo, lo que requiere una planificación de fijación individualizada.

Palabras clave:

fijación bilateral resultados funcionales lesión del anillo pélvico disfunción de la articulación sacroilíaca fijación con tornillo sacroilíaco fijación unilateral

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