Publication: Functional and radiological outcome for anterior stabilization of sacroiliac joint in unstable pelvic fracture
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Date
2021
Authors
Aziz, Abdul Muhaimin
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Abstract
INTRODUCTION Unstable pelvic injuries which result from high energy trauma, can cause life-threatening conditions and morbidity if patients are not treated properly. Many techniques can be used to stabilize pelvic ring injuries, each with their own advantages and disadvantages. We studied the functional and radiological outcome following open reduction and anterior fixation of the sacroiliac joint and agreement between botn outcomes, which we believe is the best approach to achieve anatomical reduction via direct vision. MATERIALS AND METHOD This retrospective study involved 15 patients who had unstable pelvic injuries requiring surgical intervention from January 2015 to December 2020. All patients have undergone anterior stabilization of the sacroiliac joint. Radiological outcome assessments were done postoperatively. The complete functional outcome was assessed at least six months postoperatively when the patients were able to fully weight bear. The functional outcome of patients was evaluated based on the Majeed system, and the radiological outcome assessment was based on the Lindahl criteria. Descriptive statistical analysis was performed using IBM SPSS Statistics Version 27. RESULT The participants consist of 73.3 % male and 26.7% female patients. 66.7% of patients had a Tile type B pelvic ring injury, and the remaining 33.3% had a Tile type C pelvic ring injury. Based on the Majeed system, 73.3% of patients had excellent functional outcomes, and based on Lindahl criteria; there were 60% of patients who had excellent radiological outcome. However, there was no significant agreement between functional and radiological outcomes. CONCLUSION Anterior stabilization of the sacroiliac joint is one of the surgical techniques that can be used as a definitive fixation. An excellent functional and radiological outcome can be obtained from this fixation as it can anatomically reduce the sacroiliac joint. However, further study may be needed to evaluate the correlation between functional and radiological outcomes and compare the various method of fixation with a larger sample size.
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Keywords
Pelvic Ring Injuries , Anterior stabilization of sacroiliac joint