生物骨科材料与临床研究2011，Vol.8Issue(6)：8-10,3.DOI:10.3969/j.issn.1672-5972.2011.06.003
腰骶髂联合固定治疗骶髂关节骨折脱位的疗效分析
Clinical outcomes of the combined lumb-saero-iliac fixation in treatment of sacroiliac joint fractures and dislocation
郭新钾 1孙兆云 1李雪芹 1董长军1
作者信息
- 1. 莱芜市人民医院骨一科,山东莱芜271100
- 折叠
摘要
Abstract
Objective To evaluate the clinical outcomes of the combined lumb-sacio-iliac fixation in treatment of sacroiliac joint fractures and dislocation. Methods From Jul 2007 to Jan 2010,11 patients(6 males and S females) with sacroiliac joint fractures and dislocation were treated with operation combined lumb-sacro-iliac fixation. According to the classification of Tile, 11 patients were classified as type C . This fixation combined a posterior pedicle screw system which fixed L5 / S1 with a ilium screw which fixed the posterior iliac spine after replacement by drafting affected leg and bracing or rejoining the screw. Results All 11 patients were followed up 12~20 months after surgery, with an average of 16.5 months. Postoperative X-ray showed satisfactory reduction of sacroiliac joint fractures and dislocation. No iatrogenic complications of neurovascular injury occurred. Patients now walk unassistedly without pain in the waist or legs, and with no shortening of lower limbs or claudication. By considering symptom and satisfactory scores, the Majeed functional assessment revealed that patients had 9 excellent and 2 good at 12 months after surgery. Conclusion The combined lumb-sacro-iliac fixation allowed early mobilization and ambulation, with general applicability and definite safety,is an effective surgical technique for the treatment of sacroiliac joint fractures and dislocation.关键词
骶髂关节/骨折脱位/内固定术Key words
Sacroiliac joint/ Fractures and dislocation/Internal fixation分类
医药卫生引用本文复制引用
郭新钾,孙兆云,李雪芹,董长军..腰骶髂联合固定治疗骶髂关节骨折脱位的疗效分析[J].生物骨科材料与临床研究,2011,8(6):8-10,3.
