Efficacy of Surgical Treatment of Unstable Sacral Fractures

Abstract

Omar Abd El-Whab Kelany, Waleed Mohamed Nafae, Ahmed Mostafa EL-Naggar, and Ahmed Hamdy Mohamed Rashad

Background: The treatment of sacral fractures is challenging and controversial, operative fixation provides stability, a stable sacral fracture fixation construct reduce pelvic pain, allows the patient to be mobilized to a chair or crutches and protects the local neurovascular structures. The purpose of this study was to achieve stability, early mobilization and relieve nerve compression, this done by iliosacral screw, spinopelvic fixation and plate for patients with unsatable sacral fractures.
Subjects and Methods: This was prospective study includes 24 patients with unstable sacral fracture surgically treated from June 2017 to April 2019 in orthopedic surgery department Zagazig University Hospital, with mean age 34.2 years (range 18-51), full clinical evaluation was taken, full investigations were done and Radiological assessment with minimum follow up: 6 months.
Results: Post-operatively all patients were clinically assessed according to Majeed score. Excellent cases were 10 (41.7%), good results were 12(50%) and fair were 2 (8.3%).
Conclusions: Sacral fractures are rare and detection of these potentially complicating fractures is very important.