الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 99 |  |  |
| | | from | 99 | | |
Abstract
Background data: Sacral fractures constitute a major entity of pelvic fractures. 50% of these sacral fractures are not recognized on initial physical examination of the traumatized patients. The most important prognostic factor in management of sacral fractures is the presence or absence of neurological deficit. Some studies adopt the concern regarding fixation of sacral fractures in poly-traumatized patients to avoid systemic effects and complications of recumbency.
Patients and methods: Between March 2017 and January 2019; 20 patients were presented at neurosurgery department at Alexandria University hospitals with traumatic sacral fractures. They were 13 males and 7 females with the mean of 34 years (ranged from 18-55 years). Radiological investigations were done. Plain x ray of pelvis including antero-posterior, inlet and outlet views of pelvis, CT scan with 3D reconstructions and MRI lumbosacral spine whenever possible. We used Dennis and Roy-Camille classification in our study.
Objective: Evaluation of the efficacy and safety of the percutaneous ilio-sacral fixation technique in management of the initial twenty cases operated at neurosurgery department in Alexandria University.
Results: Total 37 percutaneous ilio-sacral screws were placed in 20 patients. Partially threaded cancellous 7.0-millimeter cannulated screws were used. Thirteen patients had unilateral double screws; one patient had unilateral triple screws; two patients had bilateral screws for bilateral sacral fracture and four patients had unilateral single screw. Two Misplaced screws out of thirty-seven screws were observed. All fractures healed clinically and radiographically except one case who did not show radiological healing.
Conclusions: Percutaneous ilio-sacral fixation for sacral fractures is a minimally invasive method for management of sacral fractures. It is effective regarding pain relief with high fusion rates. It has less complications. It needs a long learning curve.