Percutaneous posterior fusion with spine system for fragility fractures of the pelvic ring

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  • 脆弱性骨盤輪骨折に対するspine systemを用いた経皮的後方固定術

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Abstract

<p>Fragility fractures of the pelvic ring (FFPs) are increasing with the aging of the population.</p><p>ORIF with ilioinguinal approach or pararectus approach for FFPs is maximally invasive (long time of operation and massive bleeding). We performed percutaneous posterior fusion by spine system for FFPs. The iliac screw and ilio-sacral screw (IS screw) are inserted by percutaneous pedicle screw (PPS). Left and right I-S screw are connected by the rod add tow connectors. The rod of iliac screw is through between the spinous processes S1 and S2. The rod of IS screw is through between the spinous processes L5 and S1. The rod of iliac screw and the rod of IS screw are connected with two cross links. Skin incision are only 40 mm incision on the posterior iliac processes and 15 mm incision of buttocks.</p><p>This method is applicable in the case of narrow space between the posterior iliac processes and the sacral posterior wall. We performed this method for forth FFPs (mean 77.6 years). The mean operating time was 162 minutes and mean blood loss was 375 g. The clinical results of this method were excellent. This method is useful for FFPs.</p>

Journal

  • Journal of Spine Research

    Journal of Spine Research 11 (8), 1068-1074, 2020-08-20

    The Japanese Society for Spine Surgery and Related Research

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