Fixation of Unstable Sacral Fractures by Transpedicular System

Tanta University

Status: Completed

Conditions: Fixation; Unstable Sacral Fractures; Transpedicular Sacral Fixation

Treatments: Procedure: Transpedicular fixation

Study type: Observational

Funder types: Other

Identifiers

NCT06888583

35358/3/22

Details and patient eligibility

About

This research aimed to assess the role of the transpedicular Fixation system in the management of unstable sacral fractures in adults.

Full description

Pelvic ring disruptions are high-energy injuries with a significant impact on quality of life and higher levels of mortality. Unstable sacral fracture is an unusual injury, and even though many studies implicate the surgical intervention as the treatment of choice, the purposes of surgery on sacral fractures include pelvic ring reconstruction, lumbopelvic stability restoration, fracture healing, early mobilization, fracture displacement prevention and improving the neurological deficiency. More and more surgeons are advocating for surgical management in the treatment of sacral fractures, and open reduction internal fixation (ORIF) has demonstrated marked benefits over conservative treatment.

Enrollment: 21 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult patients over 18 years old age.
• Both sexes.
• Unstable AO sacral fracture type B and type C.
• Patient fit for surgery and hemodynamic stable patient.
• Closed fracture.

Exclusion criteria

• AO sacral fracture type A.
• Bedridden before the trauma.
• Patient unfit for surgery.
• Open sacral fractures.
• Sacral fractures with massive morel-lavallee lesions.

Trial design

21 participants in 1 patient group

Transpedicular fixation group

Description:

Patients underwent transpedicular sacral fixation.

Treatment:

Procedure: Transpedicular fixation