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较高的骨盆发病率值是神经骨复合骨折治疗中跨骨跨圣经螺丝错位的危险因素

An-Jhih Luo^1,2, Angela Wang³, Chih-Yang Lai^1,2

¹Division of Orthopedic Traumatology, Department of Orthopedic Surgery, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street, Kweishan 333, Taoyuan, Taiwan.

Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology

|September 22, 2023

概括

皮肤穿透的 iliosacral (IS) 和 trans-iliac trans-sacral (TITS) 螺丝固定有效地治疗后骨盆骨折. 皮肤穿透的 iliosacral (IS) 和 trans-iliac trans-sacral (TITS) 螺丝固定有效地治疗后骨盆骨折. 较大的盆腔发病率 (PI) 值增加了TITS固定时的螺丝错位风险,需要仔细选择患者.

科学领域:

整形外科手术整形外科手术
放射学放射学是一门学科.
创伤护理的护理人员.

背景情况:

后部盆腔骨骨折需要进行手术固定.
阴茎 (IS) 和阴茎外跨神经 (TITS) 螺丝固定是已知的处理方法.
盆腔发病率 (PI) 是评估圣骨 - 盆腔对齐的关键放射性参数.

研究的目的:

为了比较IS的外科结果和X光参数与TITS的外科结果和X光参数,用于后骨盆骨骨折的螺丝固定.
研究不同盆腔发病率 (PI) 值对治疗结果的影响.
在螺丝固定程序中识别与不同PI值相关的潜在风险.

主要方法:

追溯对85名骨盆后部骨骨折患者的回顾,这些患者接受了IS或TITS螺杆固定治疗.
分析患者的人口统计学,骨折类型,手术记录和放射性参数 (PI,十字斜率,骨盆倾斜等). ) 的情况.
使用平面薄膜和多平面CT测量螺丝偏差,错位分级和阴性并发症.

主要成果:

在IS和TITS组中,较小的PI值与圣骨形变异相关.
较大的PI值显著增加了螺丝错位的风险,特别是在TITS螺丝组 (p=0.049).
后勤回归证实,较大的PI是TITS螺杆错位的风险因素 (p=0.010);手术后得分在各子组中同样有所改善.

结论:

通过皮肤进行的IS和TITS螺丝固定都是安全有效的,用于后部骨盆神骨骨折.
具有较大的PI值的患者在TITS固定过程中面临螺丝错位的风险较高.
在手术前对患有高PI的患者进行鉴定,对于减轻TITS螺丝错位风险至关重要.

关键词:

伊利奥萨克拉斯螺丝的螺丝骨盆骨折骨盆骨折骨盆骨折是什么?盆腔发生率盆腔发生率跨的跨神圣螺丝.

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