[Treatment of vertical unstable XXXX by percutaneous iliosacral screws fixation].

@entity1 @entity1504 @entity174 @entity3029
OBJECTIVE: To retrospectively analyze the @entity1 of vertically unstable @entity174 treated with percutaneous iliosacral screws fixation and to explore the operative techniques and its therapeutic efficacy. METHODS: From June 2002 to August 2009, 54 @entity1 with vertical unstable @entity174 were fixed with percutaneous iliosacral screws. After operation, 46 @entity1 were followed up more than 18 months. Among them, 32 @entity1 were male and 14 @entity1 were female, the average age was 36.4 years old (ranged from 19 to 64 years). The average time from injury to operation was 8.5 days (ranged from 7 to 11 days). All @entity174 had @entity3029 ranging from 8 to 40 mm (averaged 28.5 mm). After admitted, all @entity1 were applied bone traction. After recuction, the @entity174 were fixed with percutaneous iliosacral 7.3 mm cannulated screws, which crossed the iliac and sacral-iliac joint and sacral promontory to S(1)vertebrae. After operation, all @entity1 took X-ray examination. The reduction and the @entity174 reduction were judged according to Matta criterion and clinical function was judged according to Majeed functional scoring. RESULTS: Forty-six @entity1 were followed up from 1.5 to 3 years with an average of 29 months. @entity174 uninon was achieved in all @entity1 . All @entity1 got clinical recovery at mean time of 5.2 months and returned to normal daily life. According to Matta criterion for @entity174 reduction, the results were excellent in 40 cases and good in 6 cases. According to Majeed functional scoring, 32 @entity1 were excellent, 12 good and 2 normal. There were no serious complications of @entity1504 . CONCLUSION: Percutaneous iliosacral screw fixation is an effective technique with advantages of minimal invasive and faster recovery in the management of vertically unstable @entity174 .
